Organization · Type 2 NPI

Hacienda Inc

Intellectual Disabilities Intermediate Care Facility · Phoenix, AZ

NPI number 1841513413 Active

Practice location

1402 E South Mountain Ave
Phoenix, AZ 85042-7925

Fax (602) 323-5988

Specialties and licenses

TaxonomyCodeLicense
Custodial Care Facility 311Z00000XDDH1558 (AZ)
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

10 other providers at this address

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About NPI 1841513413

Hacienda Inc's National Provider Identifier is 1841513413, issued on Mar 10, 2010. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 13, 2025.