Individual provider · Type 1 NPI
Ogbemoudia James Ayiyi
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Buckeye, AZ
Practice location
24155 W Lasso Ln
Buckeye, AZ 85326-1859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
About NPI 1447130240
Ogbemoudia James Ayiyi's National Provider Identifier is 1447130240, issued on Sep 3, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Buckeye, AZ. The record was last updated on Nov 10, 2025.