Provider Demographics
NPI:1558043919
Name:TRAZAR COMMUNITY CARE 3 LLC
Entity Type:Organization
Organization Name:TRAZAR COMMUNITY CARE 3 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALNETRA
Authorized Official - Middle Name:B
Authorized Official - Last Name:ZAROE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-334-2974
Mailing Address - Street 1:622 41ST AVE S
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-7704
Mailing Address - Country:US
Mailing Address - Phone:267-334-2974
Mailing Address - Fax:215-466-3177
Practice Address - Street 1:622 41ST AVE S
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-7704
Practice Address - Country:US
Practice Address - Phone:267-334-2974
Practice Address - Fax:215-466-3177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health