Provider Demographics
NPI:1891982542
Name:CARE FOR YOU, PC
Entity Type:Organization
Organization Name:CARE FOR YOU, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT,
Authorized Official - Prefix:
Authorized Official - First Name:CRESFIELD
Authorized Official - Middle Name:WINSLOW
Authorized Official - Last Name:MOODY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:928-660-1799
Mailing Address - Street 1:PO BOX 4807
Mailing Address - Street 2:608 ELM ST. SUITE B
Mailing Address - City:PAGE
Mailing Address - State:AZ
Mailing Address - Zip Code:86040-4807
Mailing Address - Country:US
Mailing Address - Phone:928-660-1799
Mailing Address - Fax:928-645-8150
Practice Address - Street 1:608 ELM ST.
Practice Address - Street 2:SUITE B
Practice Address - City:PAGE
Practice Address - State:AZ
Practice Address - Zip Code:86040-4807
Practice Address - Country:US
Practice Address - Phone:928-660-1799
Practice Address - Fax:928-645-8150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care