Organization
SAGUARO FOUNDATION COMMUNITY LIVING PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARDO CASTRO BA (CHIEF EXECUTIVE OFFICER)
(928) 783-6069
Entity
Organization
Contact information
Practice address
1495 S 4TH AVE, YUMA, AZ 85364-4603
(928) 783-6069
(928) 782-0061
Mailing address
PO BOX 5869, YUMA, AZ 85366-2492
(928) 782-6069
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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