| Mon Ami Group Home | |
|
9138 E Dennis St Mesa AZ 85207-6008 | |
| (480) 380-4413 | |
| Not Available |
| Full Name | Mon Ami Group Home |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 9138 E Dennis St, Mesa, Arizona |
| Authorized Official Name and Position | Salim Otieno Odiero (ADMINISTRATOR) |
| Authorized Official Contact | 5038059203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mon Ami Group Home 9138 E Dennis St Mesa AZ 85207-6008 Ph: (480) 380-4413 | Mon Ami Group Home 9138 E Dennis St Mesa AZ 85207-6008 Ph: (480) 380-4413 |
| NPI Number | 1013481993 |
|---|---|
| Provider Enumeration Date | 01/14/2019 |
| Last Update Date | 06/10/2020 |
| Certification Date | 06/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013481993 | NPI | - | NPPES |
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