Grace Gyan
Grace Gyan is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maricopa, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2022
Practice location Address checks out
36019 W San Clemente AveMaricopa, AZ 85138-2118
Phone: (602) 816-5618
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X (AZ) |
|---|
Record details
| NPI number | 1255084190 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 1, 2022 |
| Last updated in NPPES | February 1, 2022 |
| Certification date | January 16, 2022 |
| Mailing address | 725 N Dobson Rd Apt 138, Chandler, AZ 85224-9104 |
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