Grace Of Serenity Living

NPI 1497925242 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1497925242
Enumeration Date 03/07/2008
Last Updated 03/07/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name TAMMY R TAMMY
Position CEO
Phone (602) 441-4690
Fax
Practice Location
6620 S 26TH DR
PHOENIX AZ, 85041-5366, US
Phone (602) 441-4690
Fax
Business Location
2720 E THOMAS RD STE 200B
PHOENIX AZ, 85016-8242, US
Phone (602) 441-4690
Fax
Toxanomy
Taxonomy Code 320800000X
License State Arizona
License Number BH2942
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According to our database, Grace Of Serenity Living NPI is 1497925242, taxonomy code is 320800000X and license number is BH2942, license state is located at Arizona. Grace Of Serenity Living physically located at 6620 S 26th Dr, Phoenix AZ, 85041-5366. NPI Number 1033115704 has the healthcare provider type.

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1497925242 NPI number is provided on an as is basis without warranty of any kind. 1497925242 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Of Serenity Living are for informational purposes only.