Organization
SANTA ROSA ELDERLY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA WHITETHORNE (SERVICE UNIT DIRECTOR)
(520) 383-7251
Entity
Organization
Contact information
Practice address
JUNCTION OF BIA 15 AND BIA 34, SANTA ROSA, AZ 85634
(520) 295-2503
(520) 295-2676
Mailing address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2503
(520) 295-2676
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
11/02/2006
Last updated
05/30/2008
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