Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Group Home LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1770477093

Mary Group Home LLC is a Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3523 E Everett Dr
Phoenix, AZ 85032-5136
Phone: (623) 565-3922
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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

Record details

NPI number1770477093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abdalla Elkhalifa — Ceo / Administrator · (623) 565-3922
NPI enumeratedJune 3, 2025
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address3523 E Everett Dr, Phoenix, AZ 85032-5136

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