Martha's Residential Care LLC

NPI #1184313199 in Peoria, Arizona

Provider Information

NPI Number: 1184313199
Entity Type: Organization
Organization Name: Martha's Residential Care LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: May 4, 2023
Last Updated: May 4, 2023

Practice Location

Address: 7564 W CHARTER OAK RD
City: Peoria
State: Arizona
ZIP Code: 85381-5322
Phone: (623) 255-4262

Authorized Official

Name: SAFFIATU S TUNIS
Title: ADMINISTRATOR
Phone: (480) 217-6996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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