Our Home Of Unity Llc | |
6616 S 48th Ln Laveen AZ 85339-1986 | |
(503) 891-0610 | |
Not Available |
Full Name | Our Home Of Unity Llc |
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Speciality | Community Based Residential Treatment Facility, Mental Illness |
Location | 6616 S 48th Ln, Laveen, Arizona |
Authorized Official Name and Position | Tlahonte Hopson (ADMINISTRATOR) |
Authorized Official Contact | 6027992757 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Our Home Of Unity Llc 7141 W Carter Rd Laveen AZ 85339-7059 Ph: (503) 891-0610 | Our Home Of Unity Llc 6616 S 48th Ln Laveen AZ 85339-1986 Ph: (503) 891-0610 |
NPI Number | 1962052712 |
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Provider Enumeration Date | 09/13/2019 |
Last Update Date | 10/07/2020 |
Certification Date | 10/07/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962052712 | NPI | - | NPPES |
BH5954 | Other | AZ | AZ DEPT OF HEALTH |
BH5550 | Other | AZ | AZ DEPT OF HEALTH |
BH5738 | Other | AZ | AZ DEPT OF HEALTH |
583548 | Medicaid | AZ | |
BH5904 | Other | AZ | AZ DEPT OF HEALTH |
BH5731 | Other | AZ | AZ DEPT OF HEALTH |
BH5953 | Other | AZ | AZ DEPT OF HEALTH |
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