Healthcare Provider Details

I. General information

NPI: 1346154366
Provider Name (Legal Business Name): RELIEF RESPITE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9858 E HAY LOFT DR
FLORENCE AZ
85132-7369
US

IV. Provider business mailing address

9858 E HAY LOFT DR
FLORENCE AZ
85132-7369
US

V. Phone/Fax

Practice location:
  • Phone: 602-338-3165
  • Fax:
Mailing address:
  • Phone: 602-338-3165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateNULL

VIII. Authorized Official

Name: ABIJAH NDUATI
Title or Position: OWNER
Credential:
Phone: 602-338-3165