Provider Demographics
NPI:1730255381
Name:HOUSE HABILITATIVE OPPORTUNITIES UTILIZING SOCIAL EXPERIENCES, LLC
Entity type:Organization
Organization Name:HOUSE HABILITATIVE OPPORTUNITIES UTILIZING SOCIAL EXPERIENCES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER-DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYRA
Authorized Official - Middle Name:P
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:480-634-5440
Mailing Address - Street 1:3295 N DRINKWATER BLVD STE 15
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6437
Mailing Address - Country:US
Mailing Address - Phone:480-634-5440
Mailing Address - Fax:480-634-5038
Practice Address - Street 1:3295 N DRINKWATER BLVD STE 15
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6437
Practice Address - Country:US
Practice Address - Phone:480-634-5440
Practice Address - Fax:480-634-5038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered251E00000XAgenciesHome Health