Konadu Family

LBN: Konadu Family
Konadu Family is an health care organization with primary practice located at 40030 W Coltin Way , Maricopa AZ 85138. 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. Konadu Family can be contacted via phone (520) 252-9164, or through Konadu, Alice via phone (520) 252-9164.

Contact Information

Primary practice address
40030 W Coltin Way Maricopa AZ 85138
Phone: (520) 252-9164
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Konadu, Alice
Phone: (520) 252-9164

Health care specialties

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

Profile Details

NPI number 1205357191
LBN Legal business name Konadu Family
DBA Doing business as Konadu Family
Authorized official Konadu, Alice
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2017
Last updated Jun 29th, 2017 - about 7 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 1205357191 NPPES
Arizona MEDICAID BH5107

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