Charles Residential Care Llc

LBN: Charles Residential Care Llc
Charles Residential Care Llc is an health care organization with primary practice located at 15813 W Monroe St , Goodyear AZ 85338-6896. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Charles Residential Care Llc can be contacted via phone (623) 882-1294, or through Asota, Eugenia via phone (309) 269-0798.

Contact Information

Primary practice address
15813 W Monroe St Goodyear AZ 85338-6896
Phone: (623) 882-1294
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Asota, Eugenia Registered Nurse (RN)
Phone: (309) 269-0798

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH4681 Arizona
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X BH4681 Arizona

Profile Details

NPI number 1245602044
LBN Legal business name Charles Residential Care Llc
DBA Doing business as
Authorized official Asota, Eugenia Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2015
Last updated Oct 20th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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