Organization
DEVON GABLES SRL CENTER
Active
Organization
DEVON GABLES SRL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER FRIEBUS (ADMINISTRATOR)
(520) 296-6181
Entity
Organization
Contact information
Practice address
6250 E GRANT RD, TUCSON, AZ 85712-5805
(520) 296-6181
(520) 298-0997
Mailing address
6250 E GRANT RD, TUCSON, AZ 85712-5805
(520) 296-6181
(520) 298-0997
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC-4509
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424276
—
AZ
Enumeration date
11/12/2008
Last updated
11/12/2008
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