Organization
EAZ-BARAKEH
Active
Other names
First Adult Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED GABER (OWNER)
(520) 241-9299
Entity
Organization
Contact information
Practice address
3925 N 1ST AVE, TUCSON, AZ 85719-1305
(520) 887-0265
(520) 303-3454
Mailing address
3925 N 1ST AVE, TUCSON, AZ 85719-1305
(520) 887-0265
(520) 303-3454
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL-11385H
ASSISTED LIVING HOME
AZ
Enumeration date
02/24/2020
Last updated
02/24/2020
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