NPI 1922427988
Luminaria, LLC
Practice location
- Address
- 17 Douglas Rd Unit a, Bisbee, AZ 85603-1051
- Phone
- (520) 466-2233
- Mailing address
- 17 a Douglas Hwy, Bisbee, AZ 85603
Authorised official
- Name
- Laura Lea Rivera
- Title
- Chief Executive Officer
- Phone
- (520) 840-0431
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1922427988
- Entity type
- Organization
- NPI issued
- 7 Apr 2014
- Record last updated
- 7 Apr 2014
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.