Eureka Imperial Residence
Eureka Imperial Residence is a Mental Illness Community Based Residential Treatment Facility in Gilbert, Arizona. Licensed in Arizona. Registered with an NPI since 2009.
- Licensed in
- AZ
- In the registry since
- 2009
Practice location Address checks out
1740 S Heritage DrGilbert, AZ 85296
Phone: (480) 264-2647
Fax: (480) 264-2647
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
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence BH3319 (AZ) |
|---|
Record details
| NPI number | 1679704381 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cornelius Tanyi — Executive Director · (480) 375-5192 |
| NPI enumerated | July 29, 2009 |
| Last updated in NPPES | July 29, 2009 |
| Mailing address | 7110 S Champagne Way, Gilbert, AZ 85298-9122 |
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