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Organization

DEVEREUX ARIZONA

Active
Other names
Devereux Foundation
Organization subpart
No

Provider details

NPI number
Authorized official
PAULA LEGGE (ADMINISTRATIVE COORDINATOR)
(520) 576-5598
Entity
Organization

Contact information

Practice address
6141 E GRANT RD, TUCSON, AZ 85712-5829
(520) 576-5598
(520) 296-8244
Mailing address
6141 E GRANT RD, TUCSON, AZ 85712-5829
(520) 576-5598
(520) 296-8244

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH-721
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
729634
AZ
Enumeration date
12/09/2015
Last updated
12/09/2015
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