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REY ASH RESIDENTIAL FACILITY LLC NPI 1538681374


NPI Information

NPI: 1538681374
Provider Name: REY ASH RESIDENTIAL FACILITY LLC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
3765 W YELLOW PEAK DR
SAN TAN VALLEY, AZ
ZIP 85142
Phone: (602) 214-2279
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REY ASH RESIDENTIAL FACILITY LLC is a residential treatment facility emotionally disturbed children in San Tan Valley, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. REY ASH RESIDENTIAL FACILITY LLC NPI is 1538681374. The provider is registered as an organization entity type.

The provider's business location address is:

3765 W YELLOW PEAK DR
SAN TAN VALLEY, AZ
ZIP 85142-090
Phone: (602) 214-2279

The provider's authorized official is Emmanuel Ashiagbor .
The authorized official title is Administrator/owner and has the following contact phone number (602) 214-2279.

The enumeration date for this NPI number is 7/13/2017 and was last updated on 7/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenBH5210Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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