Organization
HEARN HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAHAR MOULAIY (ADMINISTRATOR)
(602) 736-0523
Entity
Organization
Contact information
Practice address
5520 N 71ST AVE, GLENDALE, AZ 85303-5324
(602) 736-0523
Mailing address
5520 N 71ST AVE, GLENDALE, AZ 85303-5324
(602) 736-0523
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
BH4744
AZ
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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