Provider Demographics
NPI:1629202262
Name:GARDEN HOUSE, INC.
Entity Type:Organization
Organization Name:GARDEN HOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BUEHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-206-0400
Mailing Address - Street 1:25623 N LAWLER LOOP
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85083-1693
Mailing Address - Country:US
Mailing Address - Phone:602-206-0400
Mailing Address - Fax:623-374-7873
Practice Address - Street 1:25623 N LAWLER LOOP
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85083-1693
Practice Address - Country:US
Practice Address - Phone:602-206-0400
Practice Address - Fax:623-374-7873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency