Individual
CHINWE KANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3405 N BRINDLEY AVE, LITCHFIELD PARK, AZ 85340-8550
(623) 760-7052
Mailing address
3405 N BRINDLEY AVE, LITCHFIELD PARK, AZ 85340-8550
(623) 760-7052
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
01/23/2024
Last updated
02/05/2024
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