Provider Demographics
NPI:1124832134
Name:IRELY HEALTHCARE
Entity type:Organization
Organization Name:IRELY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETHANIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRANKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-302-1504
Mailing Address - Street 1:17524 NAPA ST APT 1
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:91325-3106
Mailing Address - Country:US
Mailing Address - Phone:805-302-1504
Mailing Address - Fax:
Practice Address - Street 1:17524 NAPA ST APT 1
Practice Address - Street 2:
Practice Address - City:SHERWOOD FOREST
Practice Address - State:CA
Practice Address - Zip Code:91325-3106
Practice Address - Country:US
Practice Address - Phone:805-302-1504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility