Organization
KULEANA CARE
Active
Other names
Kuleana living
Organization subpart
No
Provider details
NPI number
Authorized official
CODY VICARIO RN (OWNER)
(951) 751-4576
Entity
Organization
Contact information
Practice address
4733 W HATCHER RD, GLENDALE, AZ 85302-3625
(480) 887-8799
Mailing address
7345 E ACOMA DR, SCOTTSDALE, AZ 85260-3198
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
09/18/2024
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