Home of Success LLC
NPI #1134906837 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1134906837
- Entity Type
- Organization
- Organization Name
- Home of Success LLC
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Sep 14, 2023
- Last Updated
- Sep 14, 2023
Practice Location
- Address
- 5249 E GUMMITE DR
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85143-5790
- Phone
- (917) 891-4320
Authorized Official
- Name
- MAAMA ABUKARI
- Title
- MANAGER
- Phone
- (917) 891-4320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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