Whalio Doctors

NPI 1215440466

Angelic Peace Home

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Buckeye, AZ

Practice location

Address
2344 N Alsap Rd, Buckeye, AZ 85396-1664
Phone
(623) 633-9079

Authorised official

Name
Peace C Ezeogba
Title
Director
Phone
(623) 633-9079

Registered specialties (4)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X
Psychiatric Residential Treatment Facility
Residential Treatment Facilities Taxonomy 323P00000X

Registry record

NPI
1215440466
Entity type
Organization
NPI issued
9 Nov 2017
Record last updated
9 Nov 2017

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.