# STATE OF ARIZONA/STATE DEPT OF FINANCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arizona State Veteran Home Tucson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336444181
- **Authorized official:** BRIDGETT TUCKER (REGIONAL BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (623) 824-2458

## Contact information

- **Practice address:** 555 EAST AJO WAY, TUCSON, AZ 85713
- **Practice address phone:** (520) 638-2150
- **Practice address fax:** (520) 638-2166
- **Mailing address:** 555 E AJO WAY, TUCSON, AZ 85713-6104
- **Mailing address phone:** (520) 638-2150
- **Mailing address fax:** (520) 638-2166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCI-212 | AZ | — |
| 314000000X | Skilled Nursing Facility | NCI212 | AZ | Yes |

## Other

- **Enumeration date:** 01/25/2011
- **Last updated:** 05/26/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 691486 | — | AZ |