Eureka Annex Residence

LBN: Eureka Annex Residence
Eureka Annex Residence is an health care organization with primary practice located at 2668 S Heritage Dr , Gilbert AZ 85295-7164. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Eureka Annex Residence can be contacted via phone (480) 264-2647, or through Tanyi, Cornelius via phone (480) 264-2647.

Contact Information

Primary practice address
2668 S Heritage Dr Gilbert AZ 85295-7164
Phone: (480) 264-2647
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tanyi, Cornelius
Phone: (480) 264-2647

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1043634769
LBN Legal business name Eureka Annex Residence
DBA Doing business as
Authorized official Tanyi, Cornelius
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 17th, 2014
Last updated Feb 17th, 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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