# PHOENIX HOME HEALTH - TUCSON, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phoenix Home Health - Tucson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770718165
- **Authorized official:** JOAQUIN DIAZ (PRESIDENT/CEO)
- **Authorized official phone:** (602) 789-8282

## Contact information

- **Practice address:** 5055 E. BROADWAY BLVD.,, SUITE C-205, TUCSON, AZ 85711
- **Practice address phone:** (520) 207-7118
- **Practice address fax:** (520) 207-7120
- **Mailing address:** 5055 E. BROADWAY BLVD.,, SUITE C-205, TUCSON, AZ 85711
- **Mailing address phone:** (520) 207-7118
- **Mailing address fax:** (520) 207-7120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA4345 | AZ | Yes |

## Other

- **Enumeration date:** 05/28/2009
- **Last updated:** 04/21/2014