# VILLA FATIMA ORO VALLEY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Villa Fatima Oro Valley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205185634
- **Authorized official:** MR. KELLY COPELAND (MANAGER)
- **Authorized official phone:** (520) 903-4099

## Contact information

- **Practice address:** 1119 E RANCHO VISTOSO BLVD, ORO VALLEY, AZ 85755-9106
- **Practice address phone:** (520) 903-4099
- **Practice address fax:** (520) 844-1060
- **Mailing address:** 1119 E RANCHO VISTOSO BLVD, ORO VALLEY, AZ 85755-9106
- **Mailing address phone:** (520) 903-4099
- **Mailing address fax:** (520) 844-1060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | AZ | Yes |

## Other

- **Enumeration date:** 08/30/2012
- **Last updated:** 08/30/2012