Organization
AZI HOUSE LLC
Active
Organization
AZI HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FUANGUNYI (C.E.O)
(520) 771-8605
Entity
Organization
Contact information
Practice address
6840 N CASSIM PL, TUCSON, AZ 85704-1261
(240) 643-0815
Mailing address
5986 S JAKEMP TRL, TUCSON, AZ 85747-6003
(240) 643-0815
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AL11485H
—
AZ
Enumeration date
05/07/2020
Last updated
05/07/2020
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