| Our Home Of Unity Llc-2 | |
|
8709 S 47th Ln Laveen AZ 85339-2179 | |
| (602) 368-3949 | |
| (888) 753-0530 |
| Full Name | Our Home Of Unity Llc-2 |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 8709 S 47th Ln, Laveen, Arizona |
| Authorized Official Name and Position | Tlahjonte 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-2 4513 W Lodge Dr Laveen AZ 85339-7788 Ph: (602) 761-2860 | Our Home Of Unity Llc-2 8709 S 47th Ln Laveen AZ 85339-2179 Ph: (602) 368-3949 |
| NPI Number | 1275196149 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275196149 | NPI | - | NPPES |
| 444686 | Other | AZ | AHCCCS |
| BH5731 | Other | AZ | AZ DEPT OF HEALTH |
| BH5738 | Other | AZ | AZ DEPT OF HEALTH |
| BH5954 | Other | AZ | AZ DEPT OF HEALTH |
| BH5550 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH |
| BH5904 | Other | AZ | AZ DEPT OF HEALTH |
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