Organization
YOUNG BROTHERS GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON NGUGI (OWNER)
(214) 714-0906
Entity
Organization
Contact information
Practice address
1787 S FOLLETT WAY, GILBERT, AZ 85295-0272
(214) 714-0906
Mailing address
1787 S FOLLETT WAY, GILBERT, AZ 85295-0272
(214) 714-0906
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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