Organization
TENDER LOVING CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAETAN NTEZEH NKEMZI PHARMD (PROGRAM DIRECTOR)
(520) 250-7898
Entity
Organization
Contact information
Practice address
6010 E SENECA ST, TUCSON, AZ 85712-3001
(520) 250-7898
(520) 886-1413
Mailing address
7232 E MONTECITO DR, TUCSON, AZ 85710-4922
(520) 250-7898
(520) 886-1413
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH5236
AZ
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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