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
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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