Organization
PIMACARE AT HOME
Active
Parent organization
PIMA COUNCIL ON AGING, INC
Other names
Pima Care At Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
PIMA COUNCIL ON AGING, INC
Authorized official
MR. WENDELL MARK CLARK MSW (PRESIDENT AND CEO)
(520) 258-5068
Entity
Organization
Contact information
Practice address
600 S COUNTRY CLUB RD, TUCSON, AZ 85716-5807
(520) 305-3445
(520) 289-8920
Mailing address
8467 E BROADWAY BLVD, TUCSON, AZ 85710-4009
(520) 305-3445
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
578717
—
AZ
Enumeration date
01/05/2022
Last updated
05/02/2023
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