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MENLO HOUSE

Adult Care Home

Tucson, Arizona

Provider NPI: 1063519155

Organization Information:
Organization Name:  MENLO HOUSE


Practice Location:
1323 W PLACITA PLATA  TUCSON, AZ 85745 US
Tel: 520-628-8251  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
AZBH2111

Other Provider Identifiers:

IssuerNumberStateType
AHCCCS728967AR01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS AZ - Page 1