Organization
HOME OF SUCCESS LLC
Active
Organization
HOME OF SUCCESS LLC
Active
Other names
HOME OF SUCCESS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MAAMA ABUKARI (MANAGER)
(917) 891-4320
Entity
Organization
Contact information
Practice address
5249 E GUMMITE DR, SAN TAN VALLEY, AZ 85143-5790
(917) 891-4320
Mailing address
5249 E GUMMITE DR, SAN TAN VALLEY, AZ 85143-5790
(917) 891-4320
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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