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Organization

VALLEY CARE & ENRICHMENT SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABDELRAHIM ABDELRAHMAN (CEO)
(602) 437-0106
Entity
Organization

Contact information

Practice address
2117 SOUTH 48TH STREET # 103, TEMPE, AZ 85282
(602) 437-0106
(602) 437-0109
Mailing address
2117 S 48TH ST STE 103, TEMPE, AZ 85282-1016
(602) 437-0106
(602) 437-0109

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
385HR2065X
Child Physical Disabilities Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
433415
AHCCCS
AZ
Enumeration date
09/10/2012
Last updated
09/10/2012
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