Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ADEFISOYE MARTIN ADEYEMI
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · CHANDLER, AZ
Registration Details
- NPI Number
- 1689379729
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2023 (3.0619475040379 yrs)
- Last Updated
- Mar 30, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
203 W NOLAN WAYCHANDLER, AZ, 852486390Browse AZ providers · Browse ZIP 85248
- Phone
- 3399704867
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
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.