Organization
PVAA HEALTHCARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULINE A TAKU RN (ADMINISTRATOR)
(520) 207-9315
Entity
Organization
Contact information
Practice address
5315 EAST BROADWAY BLVD SUITE 208B, TUCSON, AZ 85711
(520) 207-9315
Mailing address
7390 E SYCAMORE PARK BLVD, TUCSON, AZ 85756-6122
(520) 207-9315
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA5246
AZ
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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