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Organization

JUSSAMAL MANOR

Active
Parent organization
JUSSAMAL MANOR
Other names
0
Organization subpart
Yes

Provider details

NPI number
Legal business name
JUSSAMAL MANOR
Authorized official
MR. SAMUEL NJUGUNA MARIRA (CEO/PROGRAM DIRECTOR)
(951) 567-6673
Entity
Organization

Contact information

Practice address
3047 E KINGBIRD PL, CHANDLER, AZ 85286-5615
(480) 268-7738
(480) 268-7738
Mailing address
1302 W KESLER LN, CHANDLER, AZ 85224-7286
(951) 567-6673
(480) 268-7738

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH3838
AZ

Other

Enumeration date
08/03/2011
Last updated
08/03/2011
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