Organization
STATE OF ARIZONA/STATE DEPT OF FINANCE
Active
Other names
Arizona State Veteran Home Tucson
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGETT TUCKER (REGIONAL BUSINESS OFFICE MANAGER)
(623) 824-2458
Entity
Organization
Contact information
Practice address
555 EAST AJO WAY, TUCSON, AZ 85713
(520) 638-2150
(520) 638-2166
Mailing address
555 E AJO WAY, TUCSON, AZ 85713-6104
(520) 638-2150
(520) 638-2166
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
NCI-212
AZ
314000000X
Skilled Nursing Facility
Primary
NCI212
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691486
—
AZ
Enumeration date
01/25/2011
Last updated
05/26/2026
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