Provider Demographics
NPI:1396015723
Name:HARC HUMAN SERVICES, LLC
Entity type:Organization
Organization Name:HARC HUMAN SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-664-7946
Mailing Address - Street 1:PO BOX 11697
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85130-0468
Mailing Address - Country:US
Mailing Address - Phone:520-664-7946
Mailing Address - Fax:520-284-9290
Practice Address - Street 1:1565 N WILDFLOWER DR APT 804
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-6065
Practice Address - Country:US
Practice Address - Phone:520-664-7946
Practice Address - Fax:520-284-9290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-02
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care