Organization
ICARE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA FABULUJE (EXECUTIVE PROGRAM DIR/ADMINISTRATOR)
(202) 717-2541
Entity
Organization
Contact information
Practice address
10520 W VIRGINIA AVE, AVONDALE, AZ 85392-4636
(202) 717-2541
Mailing address
3006 W DONNER DR, PHOENIX, AZ 85041-6345
(202) 717-2541
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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