Provider Demographics
NPI:1093406142
Name:CARING SOULS COMMUNITY LLC
Entity Type:Organization
Organization Name:CARING SOULS COMMUNITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERETA
Authorized Official - Middle Name:
Authorized Official - Last Name:DURRAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-699-8462
Mailing Address - Street 1:41920 W SUNLAND DR
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-2245
Mailing Address - Country:US
Mailing Address - Phone:414-699-8462
Mailing Address - Fax:
Practice Address - Street 1:41920 W SUNLAND DR
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-2245
Practice Address - Country:US
Practice Address - Phone:414-699-8462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle