| Organization Name: | COMMUNITY PROVIDER OF ENRICHMENT SERVICES, INC. |
| NPI Number: | 1215144829 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROGER DESHAIES (CEO) |
| Mailing Address: | 954 W Highway 92 Bisbee |
| State: | AZ US |
| Postal Code: | 856039737 |
| Phone Number: | 5204325453 |
| Fax Number: | |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 08/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |