NPI 1316263643

Catholic Community Services of Southern Arizona

Organisation Custodial Care Facility Tucson, AZ

Practice location

Address: 140 W Speedway Blvd Suite 130, Tucson, AZ 85705-7686
Phone: (520) 623-0344
Fax: (520) 770-8578
Mailing address: 5138 E 2nd St, Tucson, AZ 85711-1309

Authorised official

Name: Mary Anne Bogosoff
Title: Program Director
Phone: (520) 770-8517

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence BH914 (AZ)

Other Custodial Care Facility providers in Arizona →

Registry record

NPI: 1316263643
Entity type: Organization
NPI issued: 12 Apr 2010
Record last updated: 12 Apr 2010

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.