Mattie'S Care House, Llc

LBN: Mattie'S Care House, Llc
Mattie'S Care House, Llc is an health care organization with primary practice located at 6823 W Pleasant Ln , Laveen AZ 85339-2660. 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. Mattie'S Care House, Llc can be contacted via phone (602) 686-0419, or through Lee, Latoya J. via phone (602) 686-0419.

Contact Information

Primary practice address
6823 W Pleasant Ln Laveen AZ 85339-2660
Phone: (602) 686-0419
Fax: (602) 687-9742
Website:
Map and Directions
Authorized official contact:
Name: Lee, Latoya J.
Phone: (602) 686-0419

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH4867 Arizona

Profile Details

NPI number 1447601448
LBN Legal business name Mattie'S Care House, Llc
DBA Doing business as
Authorized official Lee, Latoya J.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2016
Last updated Jul 14th, 2016 - about 8 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 1447601448 NPPES
Arizona Other 148847 AHCCCS

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