Provider Demographics
NPI:1184016982
Name:ARAAD
Entity Type:Organization
Organization Name:ARAAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:PARSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:779-423-5153
Mailing Address - Street 1:318 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-3902
Mailing Address - Country:US
Mailing Address - Phone:779-423-5153
Mailing Address - Fax:
Practice Address - Street 1:318 N 1ST ST
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-3902
Practice Address - Country:US
Practice Address - Phone:779-423-5153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health