IndividualActive
Adefisoye Adeyemi
NPI 1689379729 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Chandler, AZ
Provider details
- NPI number
- 1689379729
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
203 W Nolan Way
Chandler, AZ 85248-6390
Phone: (339) 970-4867
Approximate (ZIP-level) locationGet directions
Mailing address
203 W Nolan Way
Chandler, AZ 85248-6390
Registry dates
- Enumerated
- 2023-03-30
- Last updated
- 2023-03-30
- Certified
- 2023-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.