1841513413 HACIENDA INC
Intellectual Disabilities Intermediate Care Facility
Active
Basic Information
- Organization Name
- HACIENDA INC
- Enumeration Date
- March 10, 2010
- Last Update
- February 13, 2025
- Authorized Official
- PERRY PETRILLI
CEO
Phone: (602) 243-4231
Practice Location
- Address
- 1402 E SOUTH MOUNTAIN AVE
PHOENIX, AZ 850427925 - Phone
- (602) 243-4231
- Fax
- (602) 323-5988
Mailing Address
- Address
- 1402 E SOUTH MOUNTAIN AVE
PHOENIX, AZ 850427925 - Phone
- (602) 243-4231
- Fax
- (602) 323-5988
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | Custodial Care Facility | DDH1558 | AZ | No |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040064 | 05 | AZ | N/A |
| 075368 | 05 | AZ | N/A |
Frequently Asked Questions
What is HACIENDA INC's NPI number?
HACIENDA INC's NPI number is 1841513413.
Which doctor has NPI number 1841513413?
The doctor with NPI number 1841513413 is HACIENDA INC.
What is HACIENDA INC's practice address?
HACIENDA INC's practice address is 1402 E SOUTH MOUNTAIN AVE, PHOENIX, AZ, 850427925.
Which doctor practices at 1402 E SOUTH MOUNTAIN AVE, PHOENIX, AZ, 850427925?
HACIENDA INC practices at 1402 E SOUTH MOUNTAIN AVE, PHOENIX, AZ, 850427925.
What is HACIENDA INC's phone number?
HACIENDA INC's phone number is (602) 243-4231.
Who is (602) 243-4231?
(602) 243-4231 is the phone number for HACIENDA INC.
What is HACIENDA INC's specialty?
HACIENDA INC's specialty is Intellectual Disabilities Intermediate Care Facility.
What type of doctor is HACIENDA INC?
HACIENDA INC is a Intellectual Disabilities Intermediate Care Facility.
Is HACIENDA INC a Intermediate Care Facility, Intellectual Disabilities?
Yes, HACIENDA INC is a Intermediate Care Facility, Intellectual Disabilities.
Is HACIENDA INC still practicing?
Yes, HACIENDA INC is currently practicing.
Is HACIENDA INC accepting new patients?
HACIENDA INC may be accepting new patients. Please call their office at (602) 243-4231 to inquire about availability.
Is NPI 1841513413 still active?
Yes, NPI 1841513413 is currently active.
Where does HACIENDA INC practice?
HACIENDA INC practices in PHOENIX, AZ.