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Contact Information

DESMALE SOCIAL SERVICES
12818 W SOLEDAD ST
EL MIRAGE, AZ85335-8229
 Phone: 623-444-2731
 Fax: 623-444-4099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Respite Care, Physical Disabilities, Child

385HR2065X
Indicates primary specialty

NPI Profile & details for DESMALE SOCIAL SERVICES

NPI # 1245531623
LBN Legal business name DESMALE SOCIAL SERVICES
Authorized official SAMUEL OGHENJABOR - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/16/2010
Last updated 11/16/2010 - About 16 years ago
Identifiers
AZ Medicaid 393765
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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