Src Rose Garden

LBN: Sanctuary Sober Living Llc
Src Rose Garden is an health care organization with primary practice located at 2027 E Rose Garden Ln , Phoenix AZ 85024-4418. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Transportation Services / Non-emergency Medical Transport (VAN). Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Sanctuary Sober Living Llc can be contacted via phone (602) 612-3816, or through Landin, Joseph via phone (480) 309-9945.

Contact Information

Primary practice address
2027 E Rose Garden Ln Phoenix AZ 85024-4418
Phone: (602) 612-3816
Fax: (602) 612-3769
Website:
Map and Directions
Authorized official contact:
Name: Landin, Joseph
Phone: (480) 309-9945

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1285346049
LBN Legal business name Sanctuary Sober Living Llc
DBA Doing business as Src Rose Garden
Authorized official Landin, Joseph
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 22nd, 2022
Last updated Dec 22nd, 2022 - about 3 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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