Organization
TRUE POTENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL QUIONES SLPA CCC (CLINICAL DIRECTOR)
(520) 300-5585
Entity
Organization
Contact information
Practice address
620 N COUNTRY CLUB RD, TUCSON, AZ 85716-4504
(520) 300-5585
Mailing address
620 N COUNTRY CLUB RD, TUCSON, AZ 85716-4504
(520) 300-5585
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5589
AZ
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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