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Organization
ARIZONA CARE PROVIDERS LLC
Active
Organization
ARIZONA CARE PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AL RAJABALLY (PRESIDENT)
(602) 635-4220
Entity
Organization
Contact information
Practice address
2432 W PEORIA AVE STE 1048, PHOENIX, AZ 85029-4729
(602) 635-4220
(623) 218-1216
Mailing address
2432 W PEORIA AVE STE 1048, PHOENIX, AZ 85029-4729
(602) 635-4220
(623) 218-1216
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
07/10/2009
Last updated
05/12/2011
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