NPI 1285320812

Country Care Residential Services LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Tolleson, AZ

Practice location

Address: 3241 S 93rd Dr, Tolleson, AZ 85353-5536
Phone: (623) 600-8863

Authorised official

Name: Judith Oyuo
Title: Administrator
Phone: (623) 600-8863

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Arizona →

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Arizona →

Registry record

NPI: 1285320812
Entity type: Organization
NPI issued: 17 Apr 2023
Record last updated: 17 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.