Tunmise Odebiyi
Tunmise Odebiyi is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Laveen, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2023
Practice location Address checks out
5202 W Pecan RdLaveen, AZ 85339-2460
Phone: (623) 329-7459
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence DDH3686 (AZ) |
|---|
Record details
| NPI number | 1598479255 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 9, 2023 |
| Last updated in NPPES | January 9, 2023 |
| Certification date | January 8, 2023 |
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