# WATERMARK HOME CARE OF SOUTHERN ARIZONA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Watermark at Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083917199
- **Authorized official:** MR. DAVID BARNES (MANAGING MEMBER)
- **Authorized official phone:** (520) 797-4000

## Contact information

- **Practice address:** 5830 N FOUNTAINS AVE, TUCSON, AZ 85704-2869
- **Practice address phone:** (520) 886-4400
- **Practice address fax:** (520) 290-1900
- **Mailing address:** 2020 W RUDASILL RD, TUCSON, AZ 85704-7800
- **Mailing address phone:** (520) 797-4000
- **Mailing address fax:** (520) 797-7757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA4958 | AZ | Yes |

## Other

- **Enumeration date:** 12/10/2010
- **Last updated:** 06/17/2011