NPI 1063226454
Rehoboth Broad LLC
Practice location
- Address
- 5017 S 108th Ave, Tolleson, AZ 85353-5779
- Phone
- (602) 748-9371
Authorised official
- Name
- Benita Furaha
- Title
- Owner
- Phone
- (602) 748-9371
Registered specialties (2)
Developmentally Disabled Services Day Training Agency
Primary
In Home Supportive Care Agency
Registry record
- NPI
- 1063226454
- Entity type
- Organization
- NPI issued
- 5 Feb 2025
- Record last updated
- 5 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.