NPI 1417413949

Abel's House INC.

Organisation Lodging Provider Phoenix, AZ

Practice location

Address: 1127 W Peoria Ave, Phoenix, AZ 85029-5984
Phone: (602) 441-0956
Mailing address: 1930 W Washington St, Phoenix, AZ 85009-5209

Authorised official

Name: Monica J Medrano
Title: Executive Director
Phone: (602) 441-0956

Registered specialties (3)

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X

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Registry record

NPI: 1417413949
Entity type: Organization
NPI issued: 20 Feb 2019
Record last updated: 20 Feb 2019

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.