Provider Demographics
NPI:1639849896
Name:KARAME LLC
Entity Type:Organization
Organization Name:KARAME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-759-5633
Mailing Address - Street 1:16870 W PORTLAND ST
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-7034
Mailing Address - Country:US
Mailing Address - Phone:510-759-5633
Mailing Address - Fax:
Practice Address - Street 1:16870 W PORTLAND ST
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-7034
Practice Address - Country:US
Practice Address - Phone:510-759-5633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty