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Organization
MAE'S PLACE
Active
Organization
MAE'S PLACE
Active
Other names
Maes Place
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEYSHA DARBY (CEO)
(480) 913-4882
Entity
Organization
Contact information
Practice address
13619 W BOCA RATON RD, SURPRISE, AZ 85379
(480) 913-4882
Mailing address
13794 W WADDELL RD # 203185, SURPRISE, AZ 85379-8499
(148) 091-3488
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
Other
Enumeration date
03/27/2024
Last updated
04/12/2024
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