Organization
PURPLE STARFISH ENTERPRISES LLC
Active
Other names
Eagle Pointe Community Respite Services
Organization subpart
No
Provider details
NPI number
Authorized official
KARENA CASON (ADMINISTRATOR)
(520) 869-1737
Entity
Organization
Contact information
Practice address
5428 N MESQUITE BOSQUE WAY, TUCSON, AZ 85704-1759
(520) 869-1737
Mailing address
5428 N MESQUITE BOSQUE WAY, TUCSON, AZ 85704-1759
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH5250
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5250
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
08/30/2017
Last updated
08/30/2017
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