Success Residence LLC
NPI #1033803309 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1033803309
- Entity Type
- Organization
- Organization Name
- Success Residence LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 8, 2023
- Last Updated
- Jun 8, 2023
Practice Location
- Address
- 2408 E OLIVINE RD
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85143-4908
- Phone
- (917) 891-4320
Authorized Official
- Name
- MR. MAAMA ABUKARI
- Title
- EMPLOYEE
- Phone
- (917) 891-4320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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