| Splendor Behavioral Residency Llc | |
|
43842 W Elizabeth Ave Maricopa AZ 85138-5673 | |
| (713) 291-1836 | |
| Not Available |
| Full Name | Splendor Behavioral Residency Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 43842 W Elizabeth Ave, Maricopa, Arizona |
| Authorized Official Name and Position | Kasarachi Darlyn Emedoro (MANAGER/OWNER) |
| Authorized Official Contact | 7132911836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Splendor Behavioral Residency Llc 43842 W Elizabeth Ave Maricopa AZ 85138-5673 Ph: (713) 291-1836 | Splendor Behavioral Residency Llc 43842 W Elizabeth Ave Maricopa AZ 85138-5673 Ph: (713) 291-1836 |
| NPI Number | 1619634458 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 12/01/2021 |
| Certification Date | 12/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619634458 | NPI | - | NPPES |
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