| Samfest Behavioral Homecare Llc | |
|
6905 W Carter Rd Laveen AZ 85339-7054 | |
| (602) 228-4834 | |
| Not Available |
| Full Name | Samfest Behavioral Homecare Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6905 W Carter Rd, Laveen, Arizona |
| Authorized Official Name and Position | Celine Nnediuto Nnatah (ADMINISTRATOR) |
| Authorized Official Contact | 6022284834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samfest Behavioral Homecare Llc 6905 W Carter Rd Laveen AZ 85339-7054 Ph: (602) 228-4834 | Samfest Behavioral Homecare Llc 6905 W Carter Rd Laveen AZ 85339-7054 Ph: (602) 228-4834 |
| NPI Number | 1891382446 |
|---|---|
| Provider Enumeration Date | 12/30/2020 |
| Last Update Date | 02/06/2021 |
| Certification Date | 02/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891382446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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