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Organization
JADEM ARK OF HOPE, LLC
Active
Organization
JADEM ARK OF HOPE, LLC
Active
Other names
JADEM Care Network
Organization subpart
No
Provider details
NPI number
Authorized official
MERCY NKENGAWUNG NKEZE PHARMD (CHIEF ORGANIZATION)
(206) 334-3511
Entity
Organization
Contact information
Practice address
1214 E FAIRMONT DR, TEMPE, AZ 85282-3938
(480) 284-5590
Mailing address
10370 W ODEUM LN, TOLLESON, AZ 85353-4194
(206) 334-3511
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131381
—
AZ
Enumeration date
05/19/2023
Last updated
05/19/2023
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