Organization
EMMAUS HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT NGABIRE SR. (C.O.O)
(480) 692-1503
Entity
Organization
Contact information
Practice address
2655 ROTHCHILD PL, BROWNSBURG, IN 46112-9365
(480) 692-1503
Mailing address
11580 W CORPORATE DR, AVONDALE, AZ 85323-1364
(480) 692-1503
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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