Organization · Type 2 NPI

Moms House of Az LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Phoenix, AZ

NPI number 1366064438 Active

Practice location

3636 N 3rd Ave Ste 150
Phoenix, AZ 85013-3943

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	None listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1366064438

Moms House of Az LLC's National Provider Identifier is 1366064438, issued on May 12, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Phoenix, AZ. The record was last updated on May 12, 2020.