Provider Demographics
NPI:1720342223
Name:CARING 4 YOUR ELDERS
Entity Type:Organization
Organization Name:CARING 4 YOUR ELDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-214-7479
Mailing Address - Street 1:525 W VILLA RITA DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-8102
Mailing Address - Country:US
Mailing Address - Phone:602-214-7479
Mailing Address - Fax:
Practice Address - Street 1:525 W VILLA RITA DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-8102
Practice Address - Country:US
Practice Address - Phone:602-214-7479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care