NPI 1841513413

Hacienda INC

Organisation Intellectual Disabilities Intermediate Care Facility Phoenix, AZ

Practice location

Address: 1402 E South Mountain Ave, Phoenix, AZ 85042-7925
Phone: (602) 243-4231
Fax: (602) 323-5988

Authorised official

Name: Perry Petrilli
Title: Ceo
Phone: (602) 243-4231

Registered specialties (2)

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Arizona →

Custodial Care Facility

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence DDH1558 (AZ)

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Registry record

NPI: 1841513413
Entity type: Organization
NPI issued: 10 Mar 2010
Record last updated: 13 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.