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
ROBERT M. BARNES (DEPUTY DIRECTOR)
(602) 255-3373
Entity
Organization
Contact information
Practice address
555 EAST AJO WAY, TUCSON, AZ 85713
(520) 638-2150
(520) 638-2166
Mailing address
4141 NORTH S. HERRERA WAY, PHOENIX, AZ 85012
(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
09/23/2022
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