Healthcare Provider Details

I. General information

NPI: 1922772706
Provider Name (Legal Business Name): CARRING DEVOTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2021
Last Update Date: 08/09/2021
Certification Date: 08/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2840 W LAMAR RD
PHOENIX AZ
85017-1263
US

IV. Provider business mailing address

PO BOX 7145
CHANDLER AZ
85246-7145
US

V. Phone/Fax

Practice location:
  • Phone: 602-423-0569
  • Fax:
Mailing address:
  • Phone: 602-423-0569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: RUGABIRWA RUHORIMBERE
Title or Position: OWNER
Credential:
Phone: 602-423-0569