Organization
LIFE CARE AT HOME OF TUCSON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA RAU (VICE PRESIDENT OF FINANCE)
(423) 473-5280
Entity
Organization
Contact information
Practice address
1820 E RIVER RD, SUITE D 100, TUCSON, AZ 85718-5888
(520) 498-2288
(520) 498-4693
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5256
(423) 339-8356
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA 3307
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
779051
AHCCCS
AZ
01
—
AZ0702780
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
05/23/2005
Last updated
09/22/2008
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