EZRA GROUP HOME LLC

LAVEEN, AZ
NPI1205584695
Entity TypeOrganization
Authorized ContactZENEBECH GIRMA
Administrator
602-315-2058
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2022-03-14
Last Update Date2022-03-14
Business Address
EZRA GROUP HOME LLC
6818 S 44TH AVE
LAVEEN, AZ 85339-6252
Phone number: 602-315-2058
Mailing Address
EZRA GROUP HOME LLC
6818 S 44TH AVE
LAVEEN, AZ 85339-6252
Phone number: 602-315-2058
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