| Our Home Of Unity Llc | |
|
8105 W Magnolia St Phoenix AZ 85043-5420 | |
| (503) 891-0610 | |
| Not Available |
| Full Name | Our Home Of Unity Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 8105 W Magnolia St, Phoenix, 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 7141 W Carter Rd Laveen AZ 85339-7059 Ph: (503) 891-0610 | Our Home Of Unity Llc 8105 W Magnolia St Phoenix AZ 85043-5420 Ph: (503) 891-0610 |
| NPI Number | 1871136945 |
|---|---|
| Provider Enumeration Date | 10/22/2019 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871136945 | NPI | - | NPPES |
| 598608 | Medicaid | AZ | |
| BH5738 | Other | AZ | AZ DEPT OF HEALTH |
| BH5904 | Other | AZ | AZ DEPT OF HEALTH |
| BH5550 | Other | AZ | AZ DEPT OF HEALTH |
| BH5731 | Other | AZ | AZ DEPT OF HEALTH |
| BH5954 | Other | AZ | AZ DEPT OF HEALTH |
| BH5953 | Other | AZ | AZ DEPT OF HEALTH |
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