Organization
MARSHALL HOME FOR MEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE D CIMINO (DIRECTOR)
(520) 624-5193
Entity
Organization
Contact information
Practice address
3314 S 16TH AVE, TUCSON, AZ 85713-5899
(520) 624-5193
(520) 882-2812
Mailing address
3314 S 16TH AVE, TUCSON, AZ 85713-5899
(520) 624-5193
(520) 882-2812
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
ALC 4335
AZ
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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