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Country Care Residential Services Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tolleson, Arizona
NPI 1285320812

Country Care Residential Services Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Tolleson, AZ. Country Care Residential Services Llc practices in Tolleson, AZ. The NPI Number for Country Care Residential Services Llc is 1285320812 and holds a License No. (Arizona).

The current practice location address for Country Care Residential Services Llc is 3241 S 93Rd Dr, Tolleson, AZ and can be reached out via phone at 623-600-8863.

Location: 3241 S 93Rd Dr, Tolleson, AZ, 85353-5536
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285320812
Provider Name
Country Care Residential Services Llc
Credential
Provider Entity Type
Organization
Address
3241 S 93Rd Dr, Tolleson, AZ, 85353-5536
Phone Number
623-600-8863
Fax Number
Provider Enumeration Date
04/17/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3241 S 93Rd Dr
City
Tolleson
State
Arizona
Zip
85353-5536
Phone Number
623-600-8863
Fax Number
person
Provider Business Mailing Address Details
Address
3241 S 93Rd Dr
City
Tolleson
State
Arizona
Zip
85353-5536
Phone Number
623-600-8863
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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