San Judas Group Home
San Judas Group Home is a Physical Disabilities Residential Treatment Facility in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2010.
- Licensed in
- AZ
- In the registry since
- 2010
Practice location Address checks out
5116 S 11th AvePhoenix, AZ 85041-2363
Phone: (602) 643-5932
Fax: (602) 281-6974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Disabilities Residential Treatment Facility (primary) | Taxonomy 320700000X · Licence ALH6076 (AZ) |
|---|
Record details
| NPI number | 1386969947 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Imelda Melissa Noriega — Administrator · (602) 643-5932 |
| NPI enumerated | April 7, 2010 |
| Last updated in NPPES | April 7, 2010 |
| Mailing address | 5415 S 5th Ave, Phoenix, AZ 85041-4000 |
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