For Life Services-Community Care, Llc in Surprise - Community/behavioral Health
For Life Services-Community Care, Llc - NPI 1689719650
For Life Services-Community Care, Llc is a Community/behavioral Health in Surprise, Arizona. For Life Services-Community Care, Llc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for For Life Services-Community Care, Llc is 1689719650. The last update date is 2013-03-14.
For Life Services-Community Care, Llc's current location address is Po Box 8222, Surprise, Arizona. You can contact this provider via phone number 6024054962 and fax number 7029736392. The mailing address for For Life Services-Community Care, Llc is Po Box 8222, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | For Life Services-Community Care, Llc |
|---|---|
| Address | Po Box 8222, Surprise, Arizona |
| Phone Number | 6024054962 |
| Fax Number | 7029736392 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Ahia Tra |
| Credentials | PH. D. |
| Telephone Number | 6024054962 |
NPI Number Detail
| NPI Number | 1689719650 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2013-03-14 |
Provider Mailing Address Detail
| Address | Po Box 8222 |
|---|---|
| City | Surprise |
| State | Arizona (AZ) |
| Post Code | 853740120 |
| Phone Number | 6024054962 |
| Fax Number | 7029736392 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | BH 2690 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique 10-digit identifier code issued to For Life Services-Community Care, Llc by the Centers for Medicare & Medicaid Services?
The For Life Services-Community Care, Llc has been assigned the NPI (National Provider Identifier) 1689719650 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where For Life Services-Community Care, Llc is physically located?
The For Life Services-Community Care, Llc is situated at the following address: Po Box 8222, Surprise, AZ 853740120.
What is For Life Services-Community Care, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for For Life Services-Community Care, Llc is Community/behavioral Health, and the taxonomy code that classifies this field of practice is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689719650 to For Life Services-Community Care, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1689719650 to For Life Services-Community Care, Llc on 2007-02-20.
As of what date were the details related to For Life Services-Community Care, Llc most recently updated or revised?
The information pertaining to For Life Services-Community Care, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2013-03-14.