| Adore Group Homes L.l.c | |
|
12457 W Kaler Dr Apt 257 Glendale AZ 85307-1782 | |
| (404) 573-2558 | |
| Not Available |
| Full Name | Adore Group Homes L.l.c |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12457 W Kaler Dr Apt 257, Glendale, Arizona |
| Authorized Official Name and Position | Fatmata Sannoh (ADMINISTRATOR) |
| Authorized Official Contact | 4045732558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adore Group Homes L.l.c 14221 N 51st Ave Apt 1183 Glendale AZ 85306-2546 Ph: (404) 573-2558 | Adore Group Homes L.l.c 12457 W Kaler Dr Apt 257 Glendale AZ 85307-1782 Ph: (404) 573-2558 |
| NPI Number | 1902523244 |
|---|---|
| Provider Enumeration Date | 10/27/2022 |
| Last Update Date | 10/27/2022 |
| Certification Date | 10/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902523244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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