Overview
Name: JEHOVANIS,S GROUP HOME LLC
Specialty: Intellectual and/or Developmental Disabilities Residential Treatment Facility
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Residential Treatment Facilities
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Specialization: .
Definition of Specialty: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: JEHOVANIS,S GROUP HOME LLC,10921 W TAFT ST,PHOENIX,AZ,850371107,US
Mailing Address: JEHOVANIS,S GROUP HOME LLC,10921 W TAFT ST,PHOENIX,AZ,850371107,US
Contact #
Practice location phone #: 4805010957
Practice location fax #:
Mailing address Phone #: 4805010957
Mailing Address fax #:
Authorized official Name/Telephone #:YVONE, BAHATI, OWNER 4805010957
Misc
Date NPI was obtained: 12/04/2021
Last data data was updated: 12/04/2021
Insurances: