Organization
JOSEPH GENERATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZEKIEL OJO (PRESIDENT)
(623) 418-4315
Entity
Organization
Contact information
Practice address
5955 W MYRTLE AVE STE 1, GLENDALE, AZ 85301-8801
(623) 842-1883
(623) 842-1670
Mailing address
5955 W MYRTLE AVE STE 1, GLENDALE, AZ 85301-8801
(623) 842-1883
(623) 842-1670
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
AZ
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
AZ
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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