Organization
AMIE ROSE ASSISTED LIVING HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED DIAZ GADIGAN (OWNER/GENERAL PARTNER)
(520) 241-9203
Entity
Organization
Contact information
Practice address
2010 W GRANT RD, TUCSON, AZ 85745-1108
(520) 241-9203
(520) 829-3424
Mailing address
PO BOX 64248, TUCSON, AZ 85728-4248
(520) 241-9203
(520) 829-3424
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AL9091H
AZ
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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