Organization
PROVISION FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYREASE CHAPMAN (PRESIDENT/CEO)
(323) 240-2783
Entity
Organization
Contact information
Practice address
1260 W CALLE TUBERIA, CASA GRANDE, AZ 85194-8768
(323) 240-2783
Mailing address
1260 W CALLE TUBERIA, CASA GRANDE, AZ 85194
(323) 240-2783
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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