Organization · Type 2 NPI

Ebenezer House I , LLC

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

NPI number 1407426273 Active

Practice location

4055 N 77th Dr
Phoenix, AZ 85033-3618

Call (623) 440-4404 Map

Fax (623) 777-0082

Mailing address

11114 W College Dr
Phoenix, AZ 85037-1269

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone 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 1407426273

Ebenezer House I , LLC's National Provider Identifier is 1407426273, issued on Jun 24, 2021. 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 Jun 24, 2021.