Organization
VALLEY CARE & ENRICHMENT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDELRAHIM MOHAMED ABDELRAHMAN (CEO)
(602) 697-0429
Entity
Organization
Contact information
Practice address
2559 W TAMARISK AVE, PHOENIX, AZ 85041-2041
(602) 697-0429
Mailing address
2559 W TAMARISK AVE, PHOENIX, AZ 85041-2041
(602) 697-0429
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
478952
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
478952
AHCCCS
AZ
Enumeration date
03/15/2010
Last updated
03/15/2010
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