Bougainvillea Manor Llc

LBN: Bougainvillea Manor Llc
Bougainvillea Manor Llc is an health care organization with primary practice located at 6646 S 57Th Ave , Laveen AZ 85339-2254. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Bougainvillea Manor Llc can be contacted via phone (480) 239-9648, or through Ashili, Krishna P via phone (480) 239-9648.

Contact Information

Primary practice address
6646 S 57Th Ave Laveen AZ 85339-2254
Phone: (480) 239-9648
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ashili, Krishna P
Phone: (480) 239-9648

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1477396661
LBN Legal business name Bougainvillea Manor Llc
DBA Doing business as
Authorized official Ashili, Krishna P
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2024
Last updated Jul 12th, 2024 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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