| Organization Name: | DESMALE SOCIAL SERVICES |
| NPI Number: | 1245531623 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMUEL OGHENJABOR (PROGRAM DIRECTOR) |
| Mailing Address: | 12818 W Soledad St El Mirage |
| State: | AZ US |
| Postal Code: | 853358229 |
| Phone Number: | 6234442731 |
| Fax Number: | 6234444099 |
| NPI Enumeration Date: | 11/16/2010 |
| NPI Last Update Date: | 11/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385HR2065X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | Respite Care, Physical Disabilities, Child |
| Taxonomy Definition: | A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. |