Mary Group Home LLC
Mary Group Home LLC is a Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2017.
- Licensed in
- AZ
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
15111 N 33rd PlPhoenix, AZ 85032-4552
Phone: (623) 565-3922
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 BH5112 (AZ) |
|---|
Record details
| NPI number | 1033645668 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Abdalla Elkhalifa — Ceo/Owner · (623) 565-3922 |
| NPI enumerated | May 2, 2017 |
| Last updated in NPPES | June 3, 2025 |
| Certification date | June 3, 2025 |
| Mailing address | 2084 E Washington Ave, Gilbert, AZ 85234-6229 |
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