Organization
THE JOHN AND JOSEPHINE ROSE LIVING NETWORK FOUNDATION
Active
Other names
Avion Group
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JOSEPH ROSE (PRESIDENT/CEO)
(520) 204-7958
Entity
Organization
Contact information
Practice address
5541 E GRANT RD, TUCSON, AZ 85712-2209
(520) 704-8310
(520) 848-3611
Mailing address
5541 E GRANT RD, TUCSON, AZ 85712-2209
(520) 704-8310
(520) 848-3611
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095189
—
AZ
05
—
096451
—
AZ
05
—
107487
—
AZ
01
—
HHA-00001
BANNER UFC
—
Enumeration date
11/19/2021
Last updated
09/06/2022
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