HACIENDA INC is an intermediate care facility mentally retarded in Phoenix, AZ. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HACIENDA INC NPI is 1841513413. The provider is registered as an organization entity type.
The provider Is Doing Business As Hacienda Hcbs.
The provider's business location address is:
1402 E SOUTH MOUNTAIN AVE
PHOENIX, AZ
ZIP 85042-925
Phone: (602) 243-4231
Fax: (602) 323-5988
The provider's authorized official is Barbara Newport .
The authorized official title is Credentialing And Licensing Manager and has the following contact phone number (602) 243-4231.
The enumeration date for this NPI number is 3/10/2010 and was last updated on 11/9/2020.