Medford's Home, LLC

NPI #1952938185 in Maricopa, Arizona

Provider Information

NPI Number: 1952938185
Entity Type: Organization
Organization Name: Medford's Home, LLC
Primary Specialty: Community/Behavioral Health
Enumeration Date: Mar 26, 2020
Last Updated: Mar 26, 2020

Practice Location

Address: 44276 W NEELY DR
City: Maricopa
State: Arizona
ZIP Code: 85138-9427
Phone: (619) 708-1440

Authorized Official

Name: JACOB MEDFORD
Title: OWNER
Phone: (619) 708-1440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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