Organization
BARAKA SERVICES LLC
Active
Organization
BARAKA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS KIVUVANI (OWNER)
(913) 244-5274
Entity
Organization
Contact information
Practice address
1125 E 1ST ST, CASA GRANDE, AZ 85122-4701
(913) 244-5274
Mailing address
6195 W COUGAR AVE, LAS VEGAS, NV 89139-6861
(913) 244-5274
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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