Organization
HEARTHSTONE MANOR LLC
Active
Other names
Hearthstone Manor
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE FEGERT (OWNER/MANAGER)
(520) 396-4779
Entity
Organization
Contact information
Practice address
9221 E DOLORES ST, TUCSON, AZ 85730-2132
(520) 396-4779
(520) 777-6636
Mailing address
9221 E DOLORES ST, TUCSON, AZ 85730-2132
(520) 396-4779
(520) 777-6636
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6579H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267331
—
AZ
Enumeration date
12/20/2010
Last updated
12/20/2010
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