OrganizationActive
Arizona Homes of Miracles LLC
NPI 1053905208 · Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ
Provider details
- NPI number
- 1053905208
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Abdisaak Mohamud, Owner(612) 306-0639
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3205 S 63rd Ln
Phoenix, AZ 85043-1958
Phone: (623) 440-2377
Approximate (ZIP-level) locationGet directions
Mailing address
3205 S 63rd Ln
Phoenix, AZ 85043-1958
Registry dates
- Enumerated
- 2021-02-26
- Last updated
- 2021-02-26
- Certified
- 2021-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.