Ezra Group Home LLC
NPI #1205584695 in Laveen, Arizona
Provider Information
- NPI Number
- 1205584695
- Entity Type
- Organization
- Organization Name
- Ezra Group Home LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 14, 2022
- Last Updated
- Mar 14, 2022
Practice Location
Authorized Official
- Name
- ZENEBECH GIRMA
- Title
- ADMINISTRATOR
- Phone
- (602) 315-2058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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