Organization
ELLIS DDD SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ESIMA ANN MAJEMITE (ADMINISTRATOR)
(929) 228-8250
Entity
Organization
Contact information
Practice address
1805 E MIA LN, GILBERT, AZ 85298-3214
(929) 228-8250
Mailing address
1805 E MIA LN, GILBERT, AZ 85298-3214
(929) 228-8250
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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