Geobena Home Care Services LLC

NPI #1558016493 in Laveen, Arizona

Provider Information

NPI Number: 1558016493
Entity Type: Organization
Organization Name: Geobena Home Care Services LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 18, 2022
Last Updated: Feb 18, 2022

Practice Location

Address: 4512 W DONNER DR
City: Laveen
State: Arizona
ZIP Code: 85339-4262
Phone: (602) 810-6976

Authorized Official

Name: GEORGE PREMPEH
Title: OWNER
Phone: (602) 810-6976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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