Organization
RIE'S LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MARIE SANDOVAL (OWNER / OPERATOR)
(928) 699-4203
Entity
Organization
Contact information
Practice address
769 E HARRISON ST, CHANDLER, AZ 85225-3908
(928) 699-4203
Mailing address
769 E HARRISON ST, CHANDLER, AZ 85225-3908
(928) 699-4203
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
01/23/2023
Last updated
01/25/2023
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