Organization
AZI HOUSE
Active
Other names
Northwest Assisted Living Homes
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FUANGUNYI (C.E.O AZI HOUSE LLC)
(240) 643-0815
Entity
Organization
Contact information
Practice address
2001 W CASSIM LN, TUCSON, AZ 85704-1217
(240) 643-0815
(520) 396-4658
Mailing address
5986 S JAKEMP TRL, TUCSON, AZ 85747-6003
(240) 643-0815
(520) 844-6342
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL11549H
ARIZONA STATE LICENSE
AZ
Enumeration date
05/11/2015
Last updated
06/19/2020
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