SIDNEY RONALD THOMAS
Adult Care Home
Tucson, Arizona
Provider NPI: 1255507984
Provider Information:SIDNEY RONALD THOMAS
Practice Location:
917 N CATALINA AVE TUCSON, AZ 85711 US
Tel: 520-881-0721 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | AZ | ALH-6244 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
AHCCS | 315971 | AZ | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin