Healthcare Provider Details

I. General information

NPI: 1386993004
Provider Name (Legal Business Name): VALLEY CARE & ENRICHMENT SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2012
Last Update Date: 09/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2117 SOUTH 48TH STREET # 103
TEMPE AZ
85282
US

IV. Provider business mailing address

2117 S 48TH ST STE 103
TEMPE AZ
85282-1016
US

V. Phone/Fax

Practice location:
  • Phone: 602-437-0106
  • Fax: 602-437-0109
Mailing address:
  • Phone: 602-437-0106
  • Fax: 602-437-0109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ABDELRAHIM ABDELRAHMAN
Title or Position: CEO
Credential:
Phone: 602-437-0106