| Eagle Home | |
|
808 S Jerrie Ave Tucson AZ 85711-4854 | |
| (520) 406-2978 | |
| Not Available |
| Full Name | Eagle Home |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 808 S Jerrie Ave, Tucson, Arizona |
| Authorized Official Name and Position | Bobbi Lopez (PROGRAM COORDINATOR) |
| Authorized Official Contact | 5207211887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Home 994 S Harrison Rd Tucson AZ 85748-6608 Ph: (520) 721-1887 | Eagle Home 808 S Jerrie Ave Tucson AZ 85711-4854 Ph: (520) 406-2978 |
| NPI Number | 1033578950 |
|---|---|
| Provider Enumeration Date | 02/19/2016 |
| Last Update Date | 02/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033578950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | BH4795 (Arizona) | Primary |
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