# ELLIS DDD SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629841895
- **Authorized official:** MS. ESIMA ANN MAJEMITE (ADMINISTRATOR)
- **Authorized official phone:** (929) 228-8250

## Contact information

- **Practice address:** 1805 E MIA LN, GILBERT, AZ 85298-3214
- **Practice address phone:** (929) 228-8250
- **Mailing address:** 1805 E MIA LN, GILBERT, AZ 85298-3214
- **Mailing address phone:** (929) 228-8250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2023
- **Last updated:** 10/31/2023