NPI 1588467278
Icare Total Health Services, INC
Practice location
- Address
- 30175 W Fairmount Ave, Buckeye, AZ 85396-2184
- Phone
- (402) 515-4874
- Mailing address
- 14050 N 83rd Ave STE 290, Peoria, AZ 85381-5650
Authorised official
- Name
- R Justice Braimah
- Title
- President
- Phone
- (402) 515-4874
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1588467278
- Entity type
- Organization
- NPI issued
- 29 Mar 2025
- Record last updated
- 29 Mar 2025
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.