Organization
TUCSON RESIDENCE FOUNDATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BENNETTI (EXECUTIVE DIRECTOR)
(520) 790-9144
Entity
Organization
Contact information
Practice address
115 S SHERWOOD VILLAGE DR, TUCSON, AZ 85710-4142
(520) 790-9144
(520) 790-9290
Mailing address
115 S SHERWOOD VILLAGE DR, TUCSON, AZ 85710-4142
(520) 790-9144
(520) 790-9290
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017758
—
AZ
Enumeration date
06/18/2021
Last updated
06/18/2021
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