Organization · Type 2 NPI
Ebenezer House D LLC
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Queen Creek, AZ
Practice location
2846 W Mila Way
Queen Creek, AZ 85144-6700
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.
Other intellectual and/or developmental disabilities residential treatment facility providers in Queen Creek
About NPI 1417639980
Ebenezer House D LLC's National Provider Identifier is 1417639980, issued on Aug 3, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Queen Creek, AZ. The record was last updated on Aug 3, 2023.