Success Residence Llc

LBN: Success Residence Llc
Success Residence Llc is an health care organization with primary practice located at 5120 E Wallace Way , San Tan Valley AZ 85143-5161. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Success Residence Llc can be contacted via phone (917) 891-4320, or through Abukari, Maama via phone (917) 891-4320.

Contact Information

Primary practice address
5120 E Wallace Way San Tan Valley AZ 85143-5161
Phone: (917) 891-4320
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Abukari, Maama Doctor of Medicine (MD)
Phone: (917) 891-4320

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1225621485
LBN Legal business name Success Residence Llc
DBA Doing business as
Authorized official Abukari, Maama Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2021
Last updated Feb 18th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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