Martha'S Residential Care Llc - Fairmount House

LBN: Martha'S Residential Care Llc
Martha'S Residential Care Llc - Fairmount House is an health care organization with primary practice located at 14256 W Fairmount Ave , Goodyear AZ 85395-8428. 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. Martha'S Residential Care Llc can be contacted via phone (480) 217-6996, or through Tunis, Saffiatu S via phone (623) 271-8248.

Contact Information

Primary practice address
14256 W Fairmount Ave Goodyear AZ 85395-8428
Phone: (480) 217-6996
Fax: (480) 452-0243
Website:
Map and Directions
Authorized official contact:
Name: Tunis, Saffiatu S
Phone: (623) 271-8248

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH5302 Arizona

Profile Details

NPI number 1538672076
LBN Legal business name Martha'S Residential Care Llc
DBA Doing business as Martha'S Residential Care Llc - Fairmount House
Authorized official Tunis, Saffiatu S
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 7th, 2017
Last updated Nov 7th, 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.

Request for update

Popular Providers