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

Koffi Dzaka

Individual provider Respite Care · NPI 1326867987

Koffi Dzaka is a Respite Care in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2024
Specialties on file
2

Practice location Address checks out

6692 S Stone Fly Dr
Tucson, AZ 85757-1607
Phone: (520) 251-4186
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 BH10286 (AZ)
Respite Care Taxonomy 385H00000X · Licence BH10286 (AZ)

Record details

NPI number1326867987
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 9, 2024
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024
Mailing address4000 N Central Ave Ste 100, Phoenix, AZ 85012-3520

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