Organization · Type 2 NPI
Desert Haven Adult Care Home LLC
Adult Care Home Facility · Tucson, AZ
NPI number
1528359544
Active
Practice location
9681 E Briana Ln
Tucson, AZ 85748-7405
Fax (520) 885-4976
Mailing address
8925 E 5th St
Tucson, AZ 85710-3041
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AL8124H (AZ) |
| Adult Care Home Facility | 311ZA0620X | AL8238H (AZ) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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About NPI 1528359544
Desert Haven Adult Care Home LLC's National Provider Identifier is 1528359544, issued on Apr 25, 2011. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Tucson, AZ. The record was last updated on Apr 25, 2011.