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General NPI Number Information
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NPI Number | 1386254027
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Entity Type | Organization
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Legal Business Name | J & B ASSISTED LIVING, INC. D/B/A J & B BEHAVIORAL HEALTH II
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 08/07/2020
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Provider Practice Location Address
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Address Line | 6613 W. PERSHING AVENUE
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City | GLENDALE
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State | AZ
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Zip | 85304
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Country | US
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Telephone | 623-910-7645
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Fax | 623-572-9926
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Provider Business Mailing Address
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Address Line | 6613 W. PERSHING AVENUE
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City | GLENDALE
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State | AZ
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Zip | 85304
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Country | US
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Telephone | 623-910-7645
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Fax | 623-572-9926
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Authorized Official
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Title or Position | RN, MANAGER
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Name | MRS. BILJANA FEELEY
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Credential |
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Telephone | 623-910-7645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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