NPI: 1104084383
Provider Name: BARAKA HOUSE LLC
Doing Business As: BARAKA HOUSE
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization
Specialization: Assisted Living, Mental Illness
Address:
13619 N 36TH AVE
PHOENIX, AZ
ZIP 85029
Phone: (602) 824-9100
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BARAKA HOUSE LLC is an assisted living and mental illness assisted living facility in Phoenix, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. BARAKA HOUSE LLC NPI is 1104084383. The provider is registered as an organization entity type.
The provider Is Doing Business As Baraka House.
The provider's business location address is:
13619 N 36TH AVE
PHOENIX, AZ
ZIP 85029-103
Phone: (602) 824-9100
Fax: (602) 249-8900
The provider's authorized official is Victor Okorie .
The authorized official title is Director and has the following contact phone number (602) 524-0824.
The enumeration date for this NPI number is 5/24/2008 and was last updated on 4/13/2022.