Fay'S House 1,2,3 Llc

LBN: Fay'S House 1,2,3 Llc
Fay'S House 1,2,3 Llc is an health care organization with primary practice located at 408 W Beverly Rd , Phoenix AZ 85041-8111. 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. Fay'S House 1,2,3 Llc can be contacted via phone (602) 304-0316, or through Mcquiller, Dee'Anna Marie via phone (602) 304-0316.

Contact Information

Primary practice address
408 W Beverly Rd Phoenix AZ 85041-8111
Phone: (602) 304-0316
Fax: (602) 276-0138
Website:
Map and Directions
Authorized official contact:
Name: Mcquiller, Dee'Anna Marie
Phone: (602) 304-0316

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X BH 2693 Arizona

Profile Details

NPI number 1467666131
LBN Legal business name Fay'S House 1,2,3 Llc
DBA Doing business as
Authorized official Mcquiller, Dee'Anna Marie
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Jan 4th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467666131 NPPES
Arizona MEDICAID 146283

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