Organization
TENDER LOVING CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PASCAL AMINKENG ETIENDEM (ASSISTANT ADMINISTRATOR)
(520) 981-5227
Entity
Organization
Contact information
Practice address
509 S STAUNTON DR, TUCSON, AZ 85710-6254
(520) 250-7898
Mailing address
7232 E MONTECITO DR, TUCSON, AZ 85710-4922
(520) 250-7898
(520) 771-9592
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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