Provider Demographics
NPI:1275293052
Name:WESTERN CARE INC
Entity Type:Organization
Organization Name:WESTERN CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ABDELAZIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-632-7460
Mailing Address - Street 1:5110 W BOWKER ST
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-2465
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7707 S 73RD DR
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-3451
Practice Address - Country:US
Practice Address - Phone:602-632-7460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health