Organization
CAST YOUR CARES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTY M. GRAY (OWNER)
(480) 268-3220
Entity
Organization
Contact information
Practice address
1836 N STAPLEY DR UNIT 3, MESA, AZ 85203-2671
(480) 655-7812
(480) 655-7812
Mailing address
1146 N MESA DR STE 102-291, MESA, AZ 85201-3586
(480) 268-3220
(480) 655-7812
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515866
AHCCS
AZ
Enumeration date
05/11/2010
Last updated
05/28/2010
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