NPI 1265036230

Momentous Adult Foster Care

Organisation Adult Care Home Facility Tucson, AZ

Practice location

Address: 6102 E Timrod St, Tucson, AZ 85711-4664
Phone: (520) 222-2335

Authorised official

Name: Connie Marie Wilson
Title: Owner
Phone: (520) 222-2335

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1265036230
Entity type: Organization
NPI issued: 30 Nov 2020
Record last updated: 30 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.