Organization
MOUNTAIN SPRINGS COMMUNITY SERVICES LLC
Active
Other names
MSCS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACHARY R HARRIS (ADMINISTRATIVE MANAGER/OWNER)
(520) 955-4539
Entity
Organization
Contact information
Practice address
2866 N WALNUT AVE, TUCSON, AZ 85712-1512
(520) 955-4539
Mailing address
2866 N WALNUT AVE, TUCSON, AZ 85712-1512
(520) 955-4539
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084646
—
AZ
Enumeration date
03/23/2021
Last updated
03/23/2021
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