Organization
SUMMER SKYS GROUP HOME LLC
Active
Other names
Summer Skys Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
YASIN MUHAMMAD (ADMINISTRATOR)
(602) 559-7869
Entity
Organization
Contact information
Practice address
5028 S 23RD DR, PHOENIX, AZ 85041-2969
(602) 601-2045
Mailing address
5028 S 23RD DR, PHOENIX, AZ 85041-2969
(602) 601-2045
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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