Organization · NPI-2
Rescare Arizona, INC.
Intermediate Care Facility, Intellectual Disabilities · Peoria, AZ
NPI number1750857124
StatusActive
Last updated in NPPESJul 3, 2026
Details
- NPI
- 1750857124
- Entity type
- Organization (NPI-2)
- Legal business name
- Rescare Arizona, INC.
- Organization subpart
- No
- Enumeration date
- Oct 23, 2018
- Certification date
- Jul 3, 2026
- Last updated
- Jul 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – |
Practice location
7442 W Port Au Prince LnPeoria, AZ 85381-4447
Phone 623-434-8579
Mailing address
6600 France Ave S Ste 350Edina, MN 55435-1810
Phone 800-388-5150
Authorized official
Mary Patricia Rodenberg-Roberts
Chief Regulatory Officer Sr Asst Gc
9528362234
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