Fairlane Group Home LLC
Fairlane Group Home LLC is a Psychiatric Residential Treatment Facility in Casa Grande, Arizona. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
821 W Fairlane CtCasa Grande, AZ 85122-6688
Phone: (602) 421-4663
Fax: (602) 610-5557
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
| Psychiatric Residential Treatment Facility (primary) | Taxonomy 323P00000X |
|---|
Record details
| NPI number | 1700528650 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gabriella Foster — Director Of Operations · (602) 421-4663 |
| NPI enumerated | April 11, 2022 |
| Last updated in NPPES | April 12, 2022 |
| Certification date | April 12, 2022 |
| Mailing address | 16994 W Rio Vista Ln, Goodyear, AZ 85338-7409 |
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