| House Of Tranquility Group Home Llc | |
|
23612 W Pecan Rd Buckeye AZ 85326-7234 | |
| (602) 577-9122 | |
| Not Available |
| Full Name | House Of Tranquility Group Home Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23612 W Pecan Rd, Buckeye, Arizona |
| Authorized Official Name and Position | Ieesha Boykins (OWNER) |
| Authorized Official Contact | 6025779122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| House Of Tranquility Group Home Llc 4706 N 124th Ave Avondale AZ 85392-4265 Ph: () - | House Of Tranquility Group Home Llc 23612 W Pecan Rd Buckeye AZ 85326-7234 Ph: (602) 577-9122 |
| NPI Number | 1831802388 |
|---|---|
| Provider Enumeration Date | 12/29/2022 |
| Last Update Date | 12/29/2022 |
| Certification Date | 12/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831802388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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