Fredajohn, L.L.C.
Day Training, Developmentally Disabled Services in Peoria, AZ. Organization (NPI-2).
NPI number1639382203
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1639382203
- Entity type
- Organization (NPI-2)
- Legal business name
- Fredajohn, L.L.C.
- Organization subpart
- No
- Enumeration date
- May 8, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | AZ | Yes |
Practice location
7929 W Via Del SolPeoria, AZ 85383-2130
Phone 623-376-7408 · Fax 623-487-9260
Mailing address
7929 W Via Del SolPeoria, AZ 85383-2130
Phone 623-376-7408 · Fax 623-487-9260
Authorized official
Diana Chiandet
President
6233767408
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