Organization
REHOBOTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY TALABI (OWNER/ADMINISTRATOR)
(480) 603-5286
Entity
Organization
Contact information
Practice address
46136 W MOUNTAIN VIEW RD, MARICOPA, AZ 85139-6796
(480) 603-5286
Mailing address
43014 W WILD HORSE TRL, MARICOPA, AZ 85138-8274
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065285
—
AZ
05
—
BH7243
—
AZ
Enumeration date
06/14/2019
Last updated
03/20/2023
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