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Organization
HUDUMA CARE SERVICES LLC
Active
Organization
HUDUMA CARE SERVICES LLC
Active
Other names
Chuchuney House
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN JEPKEMBOI LELEI STATUTORY AGENT (ADMINISTRATOR)
(323) 445-2606
Entity
Organization
Contact information
Practice address
2512 E MOBILE LN, PHOENIX, AZ 85040-2644
(602) 675-2744
Mailing address
2512 E MOBILE LN, PHOENIX, AZ 85040-2644
(602) 675-2744
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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