Koffi Dzaka
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 DrTucson, AZ 85757-1607
Phone: (520) 251-4186
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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 number | 1326867987 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 9, 2024 |
| Last updated in NPPES | December 3, 2024 |
| Certification date | December 3, 2024 |
| Mailing address | 4000 N Central Ave Ste 100, Phoenix, AZ 85012-3520 |
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