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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