Organization
QUALITY CARE RESIDENTIAL HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGE N SANDRALI (MANAGER)
(480) 938-6189
Entity
Organization
Contact information
Practice address
4110 W OREGON AVE, PHOENIX, AZ 85019-2224
(480) 938-6189
Mailing address
4110 W OREGON AVE, PHOENIX, AZ 85019-2224
(480) 938-6189
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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