# MENLO HOUSE

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

## Provider details

- **NPI number:** 1063519155
- **Authorized official:** MS. ELIZABETH MARY FORD (ADMINISTRATOR)
- **Authorized official phone:** (520) 628-8251

## Contact information

- **Practice address:** 1323 W PLACITA PLATA, TUCSON, AZ 85745-2722
- **Practice address phone:** (520) 628-8251
- **Practice address fax:** (520) 207-6369
- **Mailing address:** 1323 W PLACITA PLATA, TUCSON, AZ 85745-2722
- **Mailing address phone:** (520) 628-8251
- **Mailing address fax:** (520) 207-6369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | BH2111 | AZ | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020