Ebenezer House, Llc

LBN: Ebenezer House, Llc
Ebenezer House, Llc is an health care organization with primary practice located at 4055 N 77Th Dr , Phoenix AZ 85033-3618. 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, Llc can be contacted via phone (602) 686-3318, or through Santiago, Nigel via phone (602) 686-3318.

Contact Information

Primary practice address
4055 N 77Th Dr Phoenix AZ 85033-3618
Phone: (602) 686-3318
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Santiago, Nigel
Phone: (602) 686-3318

Health care specialties

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

Profile Details

NPI number 1891262556
LBN Legal business name Ebenezer House, Llc
DBA Doing business as
Authorized official Santiago, Nigel
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2018
Last updated Oct 30th, 2018 - about 6 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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