Organization
ARIZONA CONSUMER DIRECT PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY STEPHENS (LEGAL MANAGER)
(406) 532-1929
Entity
Organization
Contact information
Practice address
50 N ALVERNON WAY, TUCSON, AZ 85711-2801
(520) 398-8409
(877) 398-8413
Mailing address
100 CONSUMER DIRECT WAY, MISSOULA, MT 59808-5037
(406) 539-1900
(406) 532-1922
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169121
—
AZ
Enumeration date
05/22/2007
Last updated
04/21/2025
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