Organization
AZI HOUSE
Active
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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