Organization
BOUGAINVILLEA MANOR LLC
Active
Other names
BOUGAINVILLEA MANOR 2344, Bougainvillea Manor Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISHNA P ASHILI (ADMINISTRATOR)
(480) 239-9648
Entity
Organization
Contact information
Practice address
2344 W APOLLO RD, PHOENIX, AZ 85041-5333
(480) 239-9648
Mailing address
2344 W APOLLO RD, PHOENIX, AZ 85041-5333
(480) 239-9648
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/17/2026
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