Organization
STAROAKS BEHAVIORAL HOME
Active
Organization
STAROAKS BEHAVIORAL HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINA O JOEL (ADMINISTRATOR)
(713) 909-6953
Entity
Organization
Contact information
Practice address
16428 N 7TH PL, PHOENIX, AZ 85022-2603
(713) 909-6953
Mailing address
16428 N 7TH PL, PHOENIX, AZ 85022-2603
(713) 909-6953
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
AZ
05
—
BH7255
—
AZ
Enumeration date
01/11/2022
Last updated
01/11/2022
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