Provider Demographics
NPI:1194158568
Name:INTOUCH ELDER CARE
Entity type:Organization
Organization Name:INTOUCH ELDER CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ILEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-806-2102
Mailing Address - Street 1:12818 N 44TH LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85304-2113
Mailing Address - Country:US
Mailing Address - Phone:602-358-8094
Mailing Address - Fax:602-358-8094
Practice Address - Street 1:12818 N 44TH LN
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85304-2113
Practice Address - Country:US
Practice Address - Phone:602-358-8094
Practice Address - Fax:602-358-8094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-20
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAL9099H310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility