| NPI | 1316605595 |
|---|---|
| Doing Business As | JEHOVANIS,S GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | YVONE BAHATI Owner 480-501-0957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-12-04 |
| Last Update Date | 2021-12-04 |