Organization
SOREO SELECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND WALLACE (ADMINISTRATOR)
(520) 321-4477
Entity
Organization
Contact information
Practice address
1632 N COUNTRY CLUB RD, TUCSON, AZ 85716-3119
(520) 321-4477
(866) 260-0343
Mailing address
1632 N COUNTRY CLUB RD, TUCSON, AZ 85716-3119
(520) 321-4477
(866) 260-0343
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
XXXX
AZ
Other
Enumeration date
06/07/2013
Last updated
07/01/2014
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