OrganizationActive
Fervent Care Services LLC
NPI 1316652332 · Developmentally Disabled Services Day Training Agency · Mesa, AZ
Provider details
- NPI number
- 1316652332
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lucky Igbinoba, Ceo(763) 723-1475
Specialties & taxonomies
Agencies
- Respite Care385H00000X
Respite Care Facility
Practice location
4225 E University Dr Apt 107
Mesa, AZ 85205-7092
Phone: (763) 923-1475
Approximate (ZIP-level) locationGet directions
Mailing address
4225 E University Dr Apt 107
Mesa, AZ 85205-7092
Registry dates
- Enumerated
- 2023-01-16
- Last updated
- 2023-01-16
- Certified
- 2023-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.