Organization
CELTIC DDD HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDILATIF KASSIM (CEO)
(602) 323-4616
Entity
Organization
Contact information
Practice address
1641 E GARY DR, CHANDLER, AZ 85225-1665
(602) 323-4616
Mailing address
PO BOX 2382, CHANDLER, AZ 85244-2382
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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