Baraka House LLC
Baraka House LLC is an Assisted Living Facility (Mental Illness) in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2014.
- Licensed in
- AZ
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3302 W Mescal StPhoenix, AZ 85029-4114
Phone: (602) 595-7871
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (Mental Illness) (primary) | Taxonomy 3104A0625X |
|---|---|
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X · Licence BH4472 (AZ) |
Record details
| NPI number | 1396145694 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Victor Okorie — Owner/Director · (602) 524-0824 |
| Other names | Baraka House |
| NPI enumerated | August 25, 2014 |
| Last updated in NPPES | April 13, 2022 |
| Certification date | April 13, 2022 |
| Mailing address | 10000 N 31st Ave Ste A107, Phoenix, AZ 85051-9582 |
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