Provider Demographics
NPI:1184827990
Name:INSTANT CARE OF ARIZONA
Entity Type:Organization
Organization Name:INSTANT CARE OF ARIZONA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-993-0297
Mailing Address - Street 1:2601 E. THOMAS RD. #220
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016
Mailing Address - Country:US
Mailing Address - Phone:602-993-0297
Mailing Address - Fax:602-993-0795
Practice Address - Street 1:2601 E THOMAS RD. #220
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016
Practice Address - Country:US
Practice Address - Phone:602-993-0297
Practice Address - Fax:602-993-0795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health