Whalio Doctors

NPI 1588467278

Icare Total Health Services, INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Buckeye, AZ

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
Residential Treatment Facilities Taxonomy 320900000X

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.