Organization
AVRA VALLEY ASSISTED LIVING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA APODACA (OWNER)
(520) 622-0488
Entity
Organization
Contact information
Practice address
1621 N SILVERBELL RD, TUCSON, AZ 85745-1816
(520) 622-0488
(520) 622-0487
Mailing address
1621 N SILVERBELL RD, TUCSON, AZ 85745-1816
(520) 622-0488
(520) 622-0487
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9456H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL9456H
ASSISTED LIVING HOME
AZ
Enumeration date
08/14/2014
Last updated
08/14/2014
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