| Empire Group Homes Llc | |
|
1629 W Lacewood Pl Phoenix AZ 85045-0814 | |
| (602) 430-3705 | |
| Not Available |
| Full Name | Empire Group Homes Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 1629 W Lacewood Pl, Phoenix, Arizona |
| Authorized Official Name and Position | Amber R. Nasser (OWNER) |
| Authorized Official Contact | 6024303705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empire Group Homes Llc 1629 W Lacewood Pl Phoenix AZ 85045-0814 Ph: (602) 430-3705 | Empire Group Homes Llc 1629 W Lacewood Pl Phoenix AZ 85045-0814 Ph: (602) 430-3705 |
| NPI Number | 1275158719 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 06/10/2020 |
| Certification Date | 06/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275158719 | NPI | - | NPPES |
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