Organization
JUNIPER HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA SMITH (ADMINISTRATOR)
(520) 254-2296
Entity
Organization
Contact information
Practice address
10221 E JUNIPER BASIN LN, TUCSON, AZ 85748-6767
(520) 254-2296
(520) 344-8892
Mailing address
994 S HARRISON RD, TUCSON, AZ 85748-6608
(520) 721-1887
(520) 344-8892
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
BH4888
AZ
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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