Organization
VANWARD CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN NOEL EARHART II (OWNER)
(815) 520-3658
Entity
Organization
Contact information
Practice address
4114 E LIBERTY LN, PHOENIX, AZ 85048-0530
(815) 520-3658
Mailing address
15345 W ROMA AVE, GOODYEAR, AZ 85395-6354
(815) 520-3658
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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