Provider Demographics
NPI:1043059603
Name:DARE 2 CARE
Entity type:Organization
Organization Name:DARE 2 CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR TECH
Authorized Official - Prefix:MISS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-628-7280
Mailing Address - Street 1:23963 W TONTO ST
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85326-8135
Mailing Address - Country:US
Mailing Address - Phone:623-628-7280
Mailing Address - Fax:
Practice Address - Street 1:23963 W TONTO ST
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-8135
Practice Address - Country:US
Practice Address - Phone:623-628-7280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health