NPI | 1558016493 |
---|---|
Doing Business As | GEOBENA HOME CARE SERVICES |
Entity Type | Organization |
Authorized Contact | GEORGE PREMPEH Owner 602-810-6976 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2022-02-18 |
Last Update Date | 2022-02-18 |