Provider Demographics
NPI:1629129010
Name:LITA CARING HOME
Entity Type:Organization
Organization Name:LITA CARING HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FOLUSO
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLARU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-836-1480
Mailing Address - Street 1:1337 N WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-3425
Mailing Address - Country:US
Mailing Address - Phone:520-836-1480
Mailing Address - Fax:520-836-0956
Practice Address - Street 1:1337 N WALNUT DR
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-3425
Practice Address - Country:US
Practice Address - Phone:520-836-1480
Practice Address - Fax:520-836-0956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-14
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility