NPI 1902250616

Juniper Home

Organisation Mental Illness Intermediate Care Facility Tucson, AZ

Practice location

Address: 10221 E Juniper Basin Ln, Tucson, AZ 85748-6767
Phone: (520) 254-2296
Fax: (520) 344-8892
Mailing address: 994 S Harrison Rd, Tucson, AZ 85748-6608

Authorised official

Name: Tonia Smith
Title: Administrator
Phone: (520) 254-2296

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence BH4888 (AZ)

Other Intermediate Care Facility, Mental Illness providers in Arizona →

Registry record

NPI: 1902250616
Entity type: Organization
NPI issued: 19 Apr 2016
Record last updated: 19 Apr 2016

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.