Organization
BESCARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRIDA OROCK ASHU R.N (ADMINISTRATOR)
(602) 348-5565
Entity
Organization
Contact information
Practice address
2759 W GRENADINE RD, PHOENIX, AZ 85041-3428
(602) 384-5565
(602) 374-3188
Mailing address
2759 W GRENADINE RD, PHOENIX, AZ 85041-3428
(602) 384-5565
(602) 374-3188
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH-3709
AZ
Other
Enumeration date
02/20/2011
Last updated
02/20/2011
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