Organization
CONVERGENCE CARE LLC
Active
Other names
Convergence Care
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHAN WALKER (PRESIDENT/CEO)
(520) 971-1324
Entity
Organization
Contact information
Practice address
2959 N SWAN RD STE 161, TUCSON, AZ 85712-1232
(520) 971-1324
Mailing address
2959 N SWAN RD STE 161, TUCSON, AZ 85712-1232
(520) 971-1324
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21426545
TRANSACTION PRIVILEGE TAX LICENSE
AZ
Enumeration date
02/02/2022
Last updated
02/02/2022
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