Organization
DIFFERENTLY ABLED CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKOL LYN CASTRO (OWNER)
(808) 462-8458
Entity
Organization
Contact information
Practice address
889 S 134TH PL, GILBERT, AZ 85233-7746
(808) 462-8458
Mailing address
889 S 134TH PL, GILBERT, AZ 85233-7746
(808) 462-8458
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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