Eagles Nest Boys Residential Agency

LBN: Eagles Nest Group Home, Dba
Eagles Nest Boys Residential Agency is an health care organization with primary practice located at 1802 E Dobbins Rd , Phoenix AZ 85042-8500. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Eagles Nest Group Home, Dba can be contacted via phone (602) 568-1441, or through Mcclure, Ted D via phone (602) 568-1441.

Contact Information

Primary practice address
1802 E Dobbins Rd Phoenix AZ 85042-8500
Phone: (602) 568-1441
Fax: (602) 268-4834
Website:
Map and Directions
Authorized official contact:
Name: Mcclure, Ted D 6025681441
Phone: (602) 568-1441

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X BH4442 District of Columbia

Profile Details

NPI number 1639596927
LBN Legal business name Eagles Nest Group Home, Dba
DBA Doing business as Eagles Nest Boys Residential Agency
Authorized official Mcclure, Ted D 6025681441
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2014
Last updated Mar 25th, 2014 - about 10 years 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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