Burnes West Home

NPI #1346471570 in Surprise, Arizona

Provider Information

NPI Number: 1346471570
Entity Type: Organization
Organization Name: Burnes West Home
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 5, 2009
Last Updated: Aug 5, 2009

Practice Location

Address: 15266 N 145TH LN
City: Surprise
State: Arizona
ZIP Code: 85379-8519
Phone: (480) 857-0047

Authorized Official

Name: JARED ANTHONY GRIFFIN
Title: SPONSOR
Phone: (480) 857-0047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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