Organization
HOUSE OF TRANQUILITY GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IEESHA BOYKINS (OWNER)
(602) 577-9122
Entity
Organization
Contact information
Practice address
23612 W PECAN RD, BUCKEYE, AZ 85326-7234
(602) 577-9122
Mailing address
4706 N 124TH AVE, AVONDALE, AZ 85392-4265
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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