ANGELIC PEACE HOME NPI 1215440466

NPI Information

ANGELIC PEACE HOME is a community based residential treatment facility, intellectual and/or developmental disabilities in Buckeye, AZ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ANGELIC PEACE HOME NPI is 1215440466. The provider is registered as an organization entity type.

The provider's business location address is:

2344 N ALSAP RD
BUCKEYE, AZ
ZIP 85396-664
Phone: (623) 633-9079

The provider's authorized official is Peace C Ezeogba .
The authorized official title is Director and has the following contact phone number (623) 633-9079.

The enumeration date for this NPI number is 11/9/2017 and was last updated on 11/9/2017.

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:

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