Organization
ANGELS OF HOPE BEHAVIORAL HEALTH RESIDENTIAL AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATONYA DENISE JACKSON (OWNER/ADMINISTRATOR)
(480) 628-4614
Entity
Organization
Contact information
Practice address
483 W GASCON RD, QUEEN CREEK, AZ 85143-5467
(480) 628-4614
(480) 699-9761
Mailing address
483 W GASCON RD, QUEEN CREEK, AZ 85143-5467
(480) 628-4614
(480) 699-9761
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
BH3556
AZ
Other
Enumeration date
04/23/2010
Last updated
09/17/2010
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