person
Ibrahim Kreso
Respite Care in Tucson, Arizona
NPI 1346548385

Ibrahim Kreso is a Respite Care based in Tucson, AZ. Ibrahim Kreso practices in Tucson, AZ. The NPI Number for Ibrahim Kreso is 1346548385 and holds a License No. BH-3784 (Arizona).

The current practice location address for Ibrahim Kreso is 121 E Four Horses Pl, Tucson, AZ and can be reached out via phone at 520-742-5913 and via fax at 520-742-5913.

Location: 121 E Four Horses Pl, Tucson, AZ, 85704-7210
person
Provider Profile Details
NPI Number
1346548385
Provider Name
Ibrahim Kreso
Credential
Provider Entity Type
Individual
Gender
Male
Address
121 E Four Horses Pl, Tucson, AZ, 85704-7210
Phone Number
520-742-5913
Fax Number
520-742-5913
Provider Enumeration Date
02/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH3784 01 AZ AZ DEPT OF HEALTH SERVICES
institution
Provider Business Practice Location Address Details
Address
121 E Four Horses Pl
City
State
Zip
85704-7210
Phone Number
520-742-5913
Fax Number
520-742-5913
person
Provider Business Mailing Address Details
Address
121 E Four Horses Pl
City
State
Zip
85704-7210
Phone Number
520-742-5913
Fax Number
520-742-5913
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
BH3784 (Arizona)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
BH-3784 (Arizona)
Definition
Definition to come.
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