BASAMI HOUSE,LLC
Residential Treatment Facilities at 10 Ave, Phoenix, AZ

License number
Arizona BH 4444
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Illness
Owner
Name: JOYCE 0DONGO
Title: MEMBER
Phone: (602) 903-9193
Address
Address
15434 N 10Th Ave, Phoenix, AZ 85023
National Provider ID: 1710394614
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BASAMI HOUSE,LLC at bizstanding.com

BASAMI HOUSE, LLC

15434 N 10 Ave, Phoenix, AZ 85023

Registration:
Nov 22, 2013
State ID:
L-1888333-2
Expiration:
PERPETUAL
Member:
Joyce Odongo (Member), 15434 N 10 Ave, Phoenix, AZ 85023 (Physical)
Agent:
Lashawn D Jenkins Esq,Suite 10 SUITE 100, Phoenix, AZ 85016 (Physical)

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