Country Care Residential Services Llc

LBN: Country Care Residential Services Llc
Country Care Residential Services Llc is an health care organization with primary practice located at 3241 S 93Rd Dr , Tolleson AZ 85353-5536. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Country Care Residential Services Llc can be contacted via phone (623) 600-8863, or through Oyuo, Judith via phone (623) 600-8863.

Contact Information

Primary practice address
3241 S 93Rd Dr Tolleson AZ 85353-5536
Phone: (623) 600-8863
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Oyuo, Judith
Phone: (623) 600-8863

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1285320812
LBN Legal business name Country Care Residential Services Llc
DBA Doing business as
Authorized official Oyuo, Judith
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2023
Last updated Apr 17th, 2023 - about last year

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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