Organization
TENDER LOVING CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PASCAL AMINKENG ETIENDEM (ASSISTANT ADMINISTRATOR)
(520) 981-5227
Entity
Organization
Contact information
Practice address
7232 E MONTECITO DR, TUCSON, AZ 85710-4922
(520) 546-1724
(520) 886-1413
Mailing address
2344 E CAMINO MALCOTE, TUCSON, AZ 85706-5191
(520) 981-5227
(520) 886-1413
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH4550
AZ
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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