| Muco Behavioral Health Residential Home, Llc | |
|
7215 W Ironwood Dr Peoria AZ 85345-6805 | |
| (623) 760-8378 | |
| (623) 594-8992 |
| Full Name | Muco Behavioral Health Residential Home, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7215 W Ironwood Dr, Peoria, Arizona |
| Authorized Official Name and Position | Deogratias Baransaka (ADMINISTRATOR) |
| Authorized Official Contact | 6237608378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Muco Behavioral Health Residential Home, Llc 7215 W Ironwood Dr Peoria AZ 85345-6805 Ph: () - | Muco Behavioral Health Residential Home, Llc 7215 W Ironwood Dr Peoria AZ 85345-6805 Ph: (623) 760-8378 |
| NPI Number | 1275942468 |
|---|---|
| Provider Enumeration Date | 08/13/2014 |
| Last Update Date | 08/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275942468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 851737 (Arizona) | Primary |
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