Organization
PROVIDENCE BHF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ROSA ARAUJO (CEO)
(973) 807-8333
Entity
Organization
Contact information
Practice address
1135 E SADDLE BACK PLACE, SAN TAN VALLEY, AZ 85143
(973) 807-8333
Mailing address
21168 E OCOTILLO RD # 1149, QUEEN CREEK, AZ 85142-8175
(973) 807-8333
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
08/15/2023
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