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Tunmise Odebiyi
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Laveen, Arizona
NPI 1598479255

Tunmise Odebiyi is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Laveen, AZ. Tunmise Odebiyi practices in Laveen, AZ. The NPI Number for Tunmise Odebiyi is 1598479255 and holds a License No. DDH3686 (Arizona).

The current practice location address for Tunmise Odebiyi is 5202 W Pecan Rd, Laveen, AZ and can be reached out via phone at 623-329-7459.

Location: 5202 W Pecan Rd, Laveen, AZ, 85339-3903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598479255
Provider Name
Tunmise Odebiyi
Credential
Provider Entity Type
Individual
Gender
Male
Address
5202 W Pecan Rd, Laveen, AZ, 85339-3903
Phone Number
623-329-7459
Fax Number
Provider Enumeration Date
01/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5202 W Pecan Rd
City
Laveen
State
Arizona
Zip
85339-2460
Phone Number
623-329-7459
Fax Number
person
Provider Business Mailing Address Details
Address
5202 W Pecan Rd
City
Laveen
State
Arizona
Zip
85339-2460
Phone Number
623-329-7459
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
DDH3686 (Arizona)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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