Organization
HOMEBASE ADULT DAY SERVICES LLC
Active
Other names
HomeBase Adult Day Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMARKE MOHAMOUD (CEO)
(225) 330-1070
Entity
Organization
Contact information
Practice address
4221 E RAY RD APT 1048, PHOENIX, AZ 85044-4693
(225) 330-1070
Mailing address
4221 E RAY RD APT 1048, PHOENIX, AZ 85044-4693
(225) 330-1070
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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