Provider Demographics
NPI:1255079455
Name:EPIC'S THERAPY LLC
Entity type:Organization
Organization Name:EPIC'S THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAIED
Authorized Official - Middle Name:O
Authorized Official - Last Name:BULQAAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-386-9307
Mailing Address - Street 1:4814 W ARDMORE RD
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-2123
Mailing Address - Country:US
Mailing Address - Phone:612-389-1609
Mailing Address - Fax:
Practice Address - Street 1:4814 W ARDMORE RD
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-2123
Practice Address - Country:US
Practice Address - Phone:603-386-9307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances