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

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1225708654

Jheremy Pete is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Phoenix, Arizona. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

1718 N 77th Gln
Phoenix, AZ 85035-5053
Phone: (623) 337-0256
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Additional practice locations (1)

  • 1718 N 77th Gln, Phoenix, AZ 85035-5053 — (623) 337-0256

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1225708654
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 16, 2021
Last updated in NPPESOctober 1, 2021
Certification dateSeptember 17, 2021

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