institution
Baraka Ddd Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mesa, Arizona
NPI 1972178424

Baraka Ddd Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Glendale, AZ. Baraka Ddd Llc practices in Mesa, AZ. The NPI Number for Baraka Ddd Llc is 1972178424 and holds a License No. (Arizona).

The current practice location address for Baraka Ddd Llc is 5450 E Dolphin Ave, Mesa, AZ and can be reached out via phone at 623-570-1138.

Location: 5450 E Dolphin Ave, Mesa, AZ, 85304-1841
institution
Provider Profile Details
NPI Number
1972178424
Provider Name
Baraka Ddd Llc
Credential
Provider Entity Type
Organization
Address
5450 E Dolphin Ave, Mesa, AZ, 85304-1841
Phone Number
623-570-1138
Fax Number
Provider Enumeration Date
05/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5450 E Dolphin Ave
City
State
Zip
85206-2205
Phone Number
623-570-1138
Fax Number
person
Provider Business Mailing Address Details
Address
5450 E Dolphin Ave
City
State
Zip
85206-2205
Phone Number
623-570-1138
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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