Provider Demographics
NPI:1083441539
Name:WREN ENTERPRISES LLC
Entity type:Organization
Organization Name:WREN ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOCHHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-576-7931
Mailing Address - Street 1:12480 N RANCHO VISTOSO BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-1993
Mailing Address - Country:US
Mailing Address - Phone:520-268-8608
Mailing Address - Fax:520-257-3834
Practice Address - Street 1:12480 N RANCHO VISTOSO BLVD STE 110
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-1993
Practice Address - Country:US
Practice Address - Phone:520-268-8608
Practice Address - Fax:520-257-3834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care