Organization
TUCSON HACIENDA RIVER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETA FRAZIER (DIRECTOR)
(520) 797-4000
Entity
Organization
Contact information
Practice address
2720 E RIVER ROAD, TUCSON, AZ 85718
(520) 485-1020
Mailing address
2720 E RIVER ROAD, TUCSON, AZ 85718
(520) 485-1020
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-1980
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCI-1980
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
03/24/2017
Last updated
10/31/2017
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