# PALO VERDE HOMECARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023286150
- **Authorized official:** BARBARA DEGERONIMO (PRACTICE MANAGER)
- **Authorized official phone:** (520) 529-8387

## Contact information

- **Practice address:** 5055 E BROADWAY BLVD STE C214, TUCSON, AZ 85711-3626
- **Practice address phone:** (520) 529-8387
- **Practice address fax:** (520) 844-1111
- **Mailing address:** 5055 E BROADWAY BLVD STE C214, TUCSON, AZ 85711-3626
- **Mailing address phone:** (520) 529-8387
- **Mailing address fax:** (520) 844-1111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2008
- **Last updated:** 03/04/2009