Individual provider · Type 1 NPI
Liborio Leon Gangemi
Child Intellectual and/or Developmental Disabilities Respite Care · Glendale, AZ
NPI number
1043016223
Active
Practice location
15266 N 52nd Ave
Glendale, AZ 85306-3405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None listed |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
About NPI 1043016223
Liborio Leon Gangemi's National Provider Identifier is 1043016223, issued on Feb 20, 2025. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Glendale, AZ. The record was last updated on Feb 20, 2025.