Organization
A HOME FOR ME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BERRY (ADMINISTRATOR)
(480) 631-4783
Entity
Organization
Contact information
Practice address
1810 W SOUTHERN AVE STE 103, PHOENIX, AZ 85041-4652
(480) 631-4783
Mailing address
1810 W SOUTHERN AVE STE 103, PHOENIX, AZ 85041-4652
(480) 631-4783
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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