Organization
GRAND SERVICES AND MORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM FOFANAH (OWNER)
(480) 249-2655
Entity
Organization
Contact information
Practice address
1717 W NORTHERN AVE STE 211, PHOENIX, AZ 85021-5469
(602) 684-0660
Mailing address
8330 N 19TH AVE APT 2071, PHOENIX, AZ 85021-5276
(602) 684-0660
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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