Whalio Doctors

NPI 1558016493

Geobena Home Care Services LLC

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

Practice location

Address
4512 W Donner Dr, Laveen, AZ 85339-4262
Phone
(602) 810-6976

Authorised official

Name
George Prempeh
Title
Owner
Phone
(602) 810-6976

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1558016493
Entity type
Organization
NPI issued
18 Feb 2022
Record last updated
18 Feb 2022

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.