# DOLORES HOME LLC

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

## Provider details

- **NPI number:** 1881266328
- **Authorized official:** MR. MARCUS HINOJOA (OWNER/MANAGER)
- **Authorized official phone:** (520) 401-5753

## Contact information

- **Practice address:** 9221 E DOLORES ST, TUCSON, AZ 85730-2132
- **Practice address phone:** (520) 401-5753
- **Mailing address:** 1645 W VALENCIA RD STE 109-434, TUCSON, AZ 85746-6040
- **Mailing address phone:** (520) 401-5753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2021
- **Last updated:** 07/14/2021
