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Organization
MOMENTOUS ADULT FOSTER CARE
Active
Organization
MOMENTOUS ADULT FOSTER CARE
Active
Other names
Momentous
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE MARIE WILSON MANAGER OF ASSISTED (OWNER)
(520) 222-2335
Entity
Organization
Contact information
Practice address
6102 E TIMROD ST, TUCSON, AZ 85711-4664
(520) 222-2335
Mailing address
6102 E TIMROD ST, TUCSON, AZ 85711-4664
(520) 222-2335
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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