# KRISHNA'S HOME

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

## Provider details

- **NPI number:** 1396508180
- **Authorized official:** ROBERT M NIELSON (PRESIDENT)
- **Authorized official phone:** (775) 513-4747

## Contact information

- **Practice address:** 514 E BLACKLIDGE DR, TUCSON, AZ 85705-4618
- **Practice address phone:** (775) 513-4747
- **Mailing address:** 514 E BLACKLIDGE DR, TUCSON, AZ 85705-4618
- **Mailing address phone:** (775) 513-4747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/05/2024
- **Last updated:** 02/05/2024