| Caring Residential Services-2, Llc | |
|
6202 W Sunnyside Dr Glendale AZ 85304-2536 | |
| (928) 275-4101 | |
| (623) 877-8992 |
| Full Name | Caring Residential Services-2, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6202 W Sunnyside Dr, Glendale, Arizona |
| Authorized Official Name and Position | Joel Kyulule (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9282754101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caring Residential Services-2, Llc 6202 W Sunnyside Dr Glendale AZ 85304-2536 Ph: (928) 275-4101 | Caring Residential Services-2, Llc 6202 W Sunnyside Dr Glendale AZ 85304-2536 Ph: (928) 275-4101 |
| NPI Number | 1659739993 |
|---|---|
| Provider Enumeration Date | 02/01/2016 |
| Last Update Date | 02/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659739993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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