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Mr. Adefisoye Martin Adeyemi
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Chandler, Arizona
NPI 1689379729

Adefisoye Martin Adeyemi is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Chandler, AZ. Adefisoye Martin Adeyemi practices in Chandler, AZ. The NPI Number for Adefisoye Martin Adeyemi is 1689379729 and holds a License No. (Arizona).

The current practice location address for Adefisoye Martin Adeyemi is 203 W Nolan Way, Chandler, AZ and can be reached out via phone at 339-970-4867.

Location: 203 W Nolan Way, Chandler, AZ, 85248-6390
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689379729
Provider Name
Adefisoye Martin Adeyemi
Credential
Provider Entity Type
Individual
Gender
Male
Address
203 W Nolan Way, Chandler, AZ, 85248-6390
Phone Number
339-970-4867
Fax Number
Provider Enumeration Date
03/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
203 W Nolan Way
City
Chandler
State
Arizona
Zip
85248-6390
Phone Number
339-970-4867
Fax Number
person
Provider Business Mailing Address Details
Address
203 W Nolan Way
City
Chandler
State
Arizona
Zip
85248-6390
Phone Number
339-970-4867
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.
()
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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