MON AMI GROUP HOME NPI 1215588629

NPI Information

MON AMI GROUP HOME is a psychiatric/mental health nurse practitioner in Mesa, AZ. MON AMI GROUP HOME NPI is 1215588629. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Monami Group Home Llc.

The provider's business location address is:

9138 E DENNIS ST
MESA, AZ
ZIP 85207-008
Phone: (480) 380-4413
Fax: (480) 530-5408

The provider's authorized official is Salim Otieno Odiero .
The authorized official title is C.e.o and has the following contact phone number (480) 380-4413.

The enumeration date for this NPI number is 9/26/2019 and was last updated on 6/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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