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BARAKA HOUSE

Assisted Living, Mental Illness

Phoenix, Arizona

Provider NPI: 1609079235

Organization Information:
Organization Name:  BARAKA HOUSE


Practice Location:
3740 W CARON ST  PHOENIX, AZ 85051 US
Tel: 602-249-8900  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
AZBH2753

Other Provider Identifiers:

IssuerNumberStateType
114301AZ05
BEHAVIORAL HEALTH LICENSEBH2753AZ01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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