Organization
PREFERRED RESIDENTIAL HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODILIA SERWAAH KWATENG PMHNP-BC (ADMINISTRATOR / LICENSEE)
(623) 385-2064
Entity
Organization
Contact information
Practice address
4050 S 94TH LN, TOLLESON, AZ 85353-5745
(623) 285-2064
Mailing address
4050 S 94TH LN, TOLLESON, AZ 85353-5745
(623) 285-2064
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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