IBRAHIM KRESO NPI 1346548385

NPI Information

NPI: 1346548385
Provider Name: IBRAHIM KRESO
Classification: Respite Care - 385H00000X
Entity Type: Individual
Address:
121 E FOUR HORSES PL
TUCSON, AZ
ZIP 85704
Phone: (520) 742-5913
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Ibrahim Kreso is a respite care in Tucson, AZ. Ibrahim Kreso NPI is 1346548385. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

121 E FOUR HORSES PL
TUCSON, AZ
ZIP 85704-210
Phone: (520) 742-5913
Fax: (520) 742-5913

The enumeration date for this NPI number is 2/28/2011 and was last updated on 10/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		BH-3784	ARIZONA	No
2	385H00000X	Respite Care		BH3784	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BH3784	OTHER	ARIZONA	AZ DEPT OF HEALTH SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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