Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jussamal Manor 11

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1770931966

Jussamal Manor 11 is a Mental Illness Community Based Residential Treatment Facility in Chandler, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016

Practice location Address checks out

641 S Karen Dr
Chandler, AZ 85224
Phone: (480) 621-8640
Fax: (480) 257-3447
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence BH4726 (AZ)

Record details

NPI number1770931966
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationJussamal Manor
Authorized official Samuel Marira — Ceo./Program Director · (480) 570-6245
NPI enumeratedMay 27, 2016
Last updated in NPPESMay 27, 2016
Mailing address641 S. Karen Dr., Chandler, AZ 85224

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