Organization
DEVON GABLES HEALTH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRISCILLA BUFFALO (ADMINISTRATOR)
(520) 296-6181
Entity
Organization
Contact information
Practice address
6150 E GRANT RD, TUCSON, AZ 85712-5801
(520) 296-6181
(520) 298-0997
Mailing address
6150 E GRANT RD, TUCSON, AZ 85712-5801
(520) 296-6181
(520) 298-0997
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3006445-1616B
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131714
—
AZ
Enumeration date
07/21/2005
Last updated
08/22/2020
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