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NPI Code Detail

MEDICARE: FO & ME LLC

MEDICARE: FO & ME LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13104A0630XAssisted Living Facility (Behavioral Disturbances)
2320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility
3324500000XSubstance Abuse Rehabilitation Facility
4323P00000XPsychiatric Residential Treatment Facility

General Provider Information

NPI Number : 1770467052
Entity Type Code : Organization
Provider Name (Legal Business Name) : FO & ME LLC
Provider Business Mailing Address
First Line : 9229 W JOHN CABOT RD
Second Line :
City : PEORIA
State : AZ
Zip : 85382-7708
Country : US
Telephone Number : 945-290-4534
Fax Number :
Provider Business Practice Location Address
First Line : 2513 E CHIPMAN RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85040-2631
Country : US
Telephone Number : 945-290-4534
Fax Number :
Authorized Official
Title or Position : CO-FOUNDER / CO-OWNER
Name : MR. FARIS AL-KHER ABAKAR OSMAN
Credential :
Telephone Number : 945-290-4534
Provider Enumeration Date : 08/01/2025
Last Update Date : 08/09/2025

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Directions to “FO & ME LLC ” Practice Location

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