MEDICARE: ALMA BH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251K00000X	Public Health or Welfare Agency
2	3104A0630X	Assisted Living Facility (Behavioral Disturbances)
3	385H00000X	Respite Care
4	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1063229755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALMA BH LLC

Provider Business Mailing Address
First Line	:	21388 N 106TH LN
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-0522
Country	:	US
Telephone Number	:	480-590-6202
Fax Number	:

Provider Business Practice Location Address
First Line	:	21388 N 106TH LN
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-0522
Country	:	US
Telephone Number	:	480-590-6202
Fax Number	:

Authorized Official
Title or Position	:	OWNER / ADMINISTRATOR
Name	:	ELENA C ERGHELEGIU
Credential	:
Telephone Number	:	773-332-7942

Provider Enumeration Date	:	12/16/2024
Last Update Date	:	12/16/2024

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Directions to “ALMA BH LLC ” Practice Location

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