Ebenezer House D Llc

LBN: Ebenezer House D Llc
Ebenezer House D Llc is an health care organization with primary practice located at 2846 W Mila Way , Queen Creek AZ 85144-6700. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Ebenezer House D Llc can be contacted via phone (207) 239-0971, or through Kayitesi, Claudine via phone (207) 239-0971.

Contact Information

Primary practice address
2846 W Mila Way Queen Creek AZ 85144-6700
Phone: (207) 239-0971
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kayitesi, Claudine
Phone: (207) 239-0971

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1417639980
LBN Legal business name Ebenezer House D Llc
DBA Doing business as
Authorized official Kayitesi, Claudine
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 3rd, 2023
Last updated Aug 3rd, 2023 - about 2 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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