Organization
WATERMARK HOME CARE OF SOUTHERN ARIZONA, LLC
Active
Other names
Watermark at Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BARNES (MANAGING MEMBER)
(520) 797-4000
Entity
Organization
Contact information
Practice address
5830 N FOUNTAINS AVE, TUCSON, AZ 85704-2869
(520) 886-4400
(520) 290-1900
Mailing address
2020 W RUDASILL RD, TUCSON, AZ 85704-7800
(520) 797-4000
(520) 797-7757
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA4958
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194925
—
AZ
Enumeration date
12/10/2010
Last updated
06/17/2011
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