Organization
HOUSE OF PRAYER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA M. MUNGUIA (PRESIDENT)
(520) 792-3462
Entity
Organization
Contact information
Practice address
919 E 30TH ST, TUCSON, AZ 85713-3605
(520) 792-3462
(520) 624-7955
Mailing address
925 E 30TH ST, TUCSON, AZ 85713-3605
(520) 792-3462
(520) 624-7955
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL6429H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
987654321
SECRET CODE
—
Enumeration date
10/28/2010
Last updated
10/28/2010
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