San Judas Group Home
NPI #1386969947 in Phoenix, Arizona
Provider Information
- NPI Number
- 1386969947
- Entity Type
- Organization
- Organization Name
- San Judas Group Home
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Enumeration Date
- Apr 7, 2010
- Last Updated
- Apr 7, 2010
Practice Location
Authorized Official
- Name
- IMELDA MELISSA NORIEGA
- Title
- ADMINISTRATOR
- Phone
- (602) 643-5932
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
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