HACIENDA INC

PHOENIX, AZ
NPI1841513413
Doing Business AsHACIENDA HCBS
Entity TypeOrganization
Authorized ContactBARBARA NEWPORT
Credentialing And Licensing Manager
602-243-4231
Organization Subpart ?No
Primary Taxonomy315P00000X Intermediate Care Facility, Intellectual Disabilities
Additional Taxonomies311Z00000X Custodial Care Facility
(Licence: AZ  DDH1558)
Enumeration Date2010-03-10
Last Update Date2020-11-09
Business Address
HACIENDA INC
1402 E SOUTH MOUNTAIN AVE
PHOENIX, AZ 85042-7925
Phone number: 602-243-4231
Mailing Address
HACIENDA INC
1402 E SOUTH MOUNTAIN AVE
PHOENIX, AZ 85042-7925
Phone number: 602-243-4231