Organization
ELSA'S ADULT CARE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELSA IYOYO GATCHALIAN (OWNER/MANAGER)
(520) 886-8283
Entity
Organization
Contact information
Practice address
6301 E CALLE DE SAN ALBERTO, TUCSON, AZ 85710-2113
(520) 886-8283
(820) 886-2848
Mailing address
6301 E CALLE DE SAN ALBERTO, TUCSON, AZ 85710-2113
(520) 886-8283
(820) 886-2848
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL6219H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223427
AHCCCS
AZ
Enumeration date
10/17/2016
Last updated
10/28/2016
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