| Our House Residentials | |
|
8910 W Monroe St Peoria AZ 85345-6440 | |
| (623) 418-5132 | |
| (623) 877-1845 |
| Full Name | Our House Residentials |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8910 W Monroe St, Peoria, Arizona |
| Authorized Official Name and Position | Kanesha Anderson (OWNER) |
| Authorized Official Contact | 6234185132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our House Residentials 12384 W Hazelwood St Avondale AZ 85392-4275 Ph: (623) 418-5132 | Our House Residentials 8910 W Monroe St Peoria AZ 85345-6440 Ph: (623) 418-5132 |
| NPI Number | 1336607613 |
|---|---|
| Provider Enumeration Date | 03/06/2019 |
| Last Update Date | 03/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336607613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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