Organization
REHOBOTH HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLUWATOFUNMI FAKOYA (MANAGING PARTNER)
(602) 578-5445
Entity
Organization
Contact information
Practice address
828 S REBER AVE, GILBERT, AZ 85296-1467
(602) 578-5445
Mailing address
3324 E RAY RD UNIT 517, HIGLEY, AZ 85236-4525
(602) 578-5445
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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