Moms House Of Az Llc

LBN: Moms House Of Az Llc
Moms House Of Az Llc is an health care organization with primary practice located at 3636 N 3Rd Ave Ste 150 , Phoenix AZ 85013-3943. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Moms House Of Az Llc can be contacted via phone (510) 386-0713, or through Hall, Jarel via phone (510) 368-0713.

Contact Information

Primary practice address
3636 N 3Rd Ave Ste 150 Phoenix AZ 85013-3943
Phone: (510) 386-0713
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hall, Jarel
Phone: (510) 368-0713

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1366064438
LBN Legal business name Moms House Of Az Llc
DBA Doing business as
Authorized official Hall, Jarel
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2020
Last updated May 12th, 2020 - about 5 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