Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Country Care Residential Services LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1285320812

Country Care Residential Services LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tolleson, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3241 S 93rd Dr
Tolleson, AZ 85353-5536
Phone: (623) 600-8863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1285320812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Judith Oyuo — Administrator · (623) 600-8863
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 17, 2023
Certification dateApril 16, 2023
Mailing address3241 S 93rd Dr, Tolleson, AZ 85353-5536

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