Organization
ICARE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA FABULUJE (EXECUTIVE PROGRAM DIRECTOR/ADMINIST)
(480) 548-7433
Entity
Organization
Contact information
Practice address
5802 S 53RD LN, LAVEEN, AZ 85339-2412
(480) 548-7433
Mailing address
3006 W DONNER DR, PHOENIX, AZ 85041-6345
(708) 953-5513
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
02/27/2021
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