Provider Demographics
NPI:1134374077
Name:CASADELD, LLC
Entity type:Organization
Organization Name:CASADELD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:PIEDAD
Authorized Official - Last Name:MCLEES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-218-8481
Mailing Address - Street 1:7138 W MONTE LINDO
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85310-5870
Mailing Address - Country:US
Mailing Address - Phone:623-218-8481
Mailing Address - Fax:
Practice Address - Street 1:7138 W MONTE LINDO
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85310-5870
Practice Address - Country:US
Practice Address - Phone:623-218-8481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies