Ebenezer House 1 Llc

LBN: Ebenezer House 1 Llc
Ebenezer House 1 Llc is an health care organization with primary practice located at 35168 N Magnette Way , Queen Creek AZ 85142-3916. 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. Ebenezer House 1 Llc can be contacted via phone (602) 609-8966, or through Agbormah, Tychiere via phone (480) 740-6688.

Contact Information

Primary practice address
35168 N Magnette Way Queen Creek AZ 85142-3916
Phone: (602) 609-8966
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Agbormah, Tychiere BHT
Phone: (480) 740-6688

Health care specialties

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

Profile Details

NPI number 1144928920
LBN Legal business name Ebenezer House 1 Llc
DBA Doing business as
Authorized official Agbormah, Tychiere BHT
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2023
Last updated Feb 21st, 2023 - about last year

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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