Provider Demographics
NPI:1851726871
Name:CARE HEARING AZ LLC
Entity Type:Organization
Organization Name:CARE HEARING AZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAVELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-262-7923
Mailing Address - Street 1:9451 N 99TH AVE
Mailing Address - Street 2:STE 1
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-6999
Mailing Address - Country:US
Mailing Address - Phone:623-262-7923
Mailing Address - Fax:623-977-1972
Practice Address - Street 1:9451 N 99TH AVE
Practice Address - Street 2:STE 1
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-6999
Practice Address - Country:US
Practice Address - Phone:623-262-7923
Practice Address - Fax:623-977-1972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty