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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TUNMISE ODEBIYI

Active Sole Proprietor

TUNMISE ODEBIYI is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in LAVEEN, Arizona. NPI 1598479255 is currently active in the NPPES registry. Verify at CMS.

Intellectual Disabilities Residential Treatment Facility · LAVEEN, AZ

Registration Details

NPI Number
1598479255
Provider Type
Individual
Gender
Male
NPI Issued
Jan 9, 2023 (3.6303565498967 yrs)
Last Updated
Jan 9, 2023
License
DDH3686 (AZ)
Sole Proprietor
Yes

Practice Information

Address
5202 W PECAN RD
LAVEEN, AZ, 853392460
Browse AZ providers · Browse ZIP 85339
Phone
6233297459

Other Intellectual Disabilities Residential Treatment Facility Providers in LAVEEN, AZ

Name Credential NPI
ABDIMALIK DAHIR 1598541716
HOWARD L THOMAS BH8703 1285403741
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.