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Organization

MORNING GLORY ADULT CARE HOME LLC 1

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHELLY ANN RODRIGUEZ (OWNER/MANAGER)
(520) 235-1328
Entity
Organization

Contact information

Practice address
6725 N AMAHL DR, TUCSON, AZ 85704-1208
(520) 638-5580
(520) 989-9927
Mailing address
6725 N AMAHL DR, TUCSON, AZ 85704-1208
(520) 638-5580
(520) 989-9927

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
184657
AZ
Enumeration date
02/27/2025
Last updated
02/27/2025
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