Provider Demographics
NPI:1477093722
Name:COMMUNITY PARTNERED RESOURCES INC
Entity Type:Organization
Organization Name:COMMUNITY PARTNERED RESOURCES INC
Other - Org Name:SUN CITIES CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LOLA
Authorized Official - Middle Name:J
Authorized Official - Last Name:JUDY
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:623-974-2397
Mailing Address - Street 1:13203 N 103RD AVE
Mailing Address - Street 2:SUITE F6
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3028
Mailing Address - Country:US
Mailing Address - Phone:623-974-2397
Mailing Address - Fax:623-974-2395
Practice Address - Street 1:13203 N 103RD AVE
Practice Address - Street 2:SUITE F6
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3028
Practice Address - Country:US
Practice Address - Phone:623-974-2397
Practice Address - Fax:623-974-2395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care