Provider Demographics
NPI:1871892075
Name:WOUND CARES LLC
Entity type:Organization
Organization Name:WOUND CARES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:WOCN
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINADEN
Authorized Official - Middle Name:HORNEJA
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BSN RN
Authorized Official - Phone:210-415-9920
Mailing Address - Street 1:2488 CHERRY HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85650-5181
Mailing Address - Country:US
Mailing Address - Phone:210-415-9920
Mailing Address - Fax:
Practice Address - Street 1:2488 CHERRY HILLS DR
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85650-5181
Practice Address - Country:US
Practice Address - Phone:210-415-9920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-28
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1100007434320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities