Provider Demographics
NPI:1750773099
Name:CARING RESIDENTIAL SERVICES,LLC
Entity type:Organization
Organization Name:CARING RESIDENTIAL SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KYULULE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-877-8206
Mailing Address - Street 1:6605 N 93RD AVE
Mailing Address - Street 2:UNIT 1066
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85305-3115
Mailing Address - Country:US
Mailing Address - Phone:623-877-8206
Mailing Address - Fax:623-877-8992
Practice Address - Street 1:6605 N 93RD AVE
Practice Address - Street 2:UNIT 1066
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85305-3115
Practice Address - Country:US
Practice Address - Phone:623-877-8206
Practice Address - Fax:623-877-8992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health