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Organization

DESERT HOME ASSISTED LIVING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUG NIXON (MEMBER)
(520) 777-4989
Entity
Organization

Contact information

Practice address
5940 E 5TH ST, TUCSON, AZ 85711-2502
(520) 777-4989
(520) 445-6443
Mailing address
5940 E 5TH ST, TUCSON, AZ 85711-2502
(520) 777-4989
(520) 445-6443

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10037H
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172335
AZ
Enumeration date
10/13/2016
Last updated
10/13/2016
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