Individual
CASEY PARKSKRAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3408 N RIVER RAPIDS DR, TUCSON, AZ 85712-6662
(520) 549-9512
Mailing address
3938 E GRANT RD # 408, TUCSON, AZ 85712-2559
(520) 549-9512
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LCR-236196-22198
AZ
385HR2055X
Child Mental Illness Respite Care
Primary
BH5306
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5306
AZ DEPT. OF HEALTH SERVICES
AZ
Enumeration date
12/12/2017
Last updated
06/10/2026
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