Organization
IMMACULATE ADULT CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOWELA BARONIA (CAREGIVER)
(520) 867-1131
Entity
Organization
Contact information
Practice address
9241 E 26TH ST, TUCSON, AZ 85710-8607
(520) 867-1131
Mailing address
9241 E 26TH ST, TUCSON, AZ 85710-8607
(520) 867-1131
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9634H
AZ
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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