| Our Home Of Unity Llc | |
|
7019 S 77th Ln Laveen AZ 85339-7231 | |
| (602) 761-2860 | |
| Not Available |
| Full Name | Our Home Of Unity Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 7019 S 77th Ln, Laveen, Arizona |
| Authorized Official Name and Position | Tlahjonte Hopson (ADMINSTRATOR) |
| 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 7019 S 77th Ln Laveen AZ 85339-7231 Ph: (602) 761-2860 |
| NPI Number | 1942784285 |
|---|---|
| Provider Enumeration Date | 09/22/2018 |
| Last Update Date | 10/07/2020 |
| Certification Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942784285 | NPI | - | NPPES |
| BH5550 | Other | AZ | STATE OF ARIZONA DEPARTMENT OF HEALTH |
| BH5904 | Other | AZ | AZ DEPT OF HEALTH |
| BH5738 | Other | AZ | STATE OF ARIZONA DEPARTMENT OF HEALTH |
| BH5953 | Other | AZ | AZ DEPT OF HEALTH |
| BH5954 | Other | AZ | AZ DEPT OF HEALTH |
| 444686 | Medicaid | AZ | |
| BH5731 | Other | AZ | STATE OF ARIZONA DEPARTMENT OF HEALTH |
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