| Housing Assistance For Arizona | |
|
1021 E Palmdale St Ste 190a Tucson AZ 85714-1857 | |
| (520) 333-4320 | |
| (520) 207-0542 |
| Full Name | Housing Assistance For Arizona |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1021 E Palmdale St Ste 190a, Tucson, Arizona |
| Authorized Official Name and Position | Rose Lopez (PRESIDENT AND CEO) |
| Authorized Official Contact | 5207211887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Housing Assistance For Arizona Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887 | Housing Assistance For Arizona 1021 E Palmdale St Ste 190a Tucson AZ 85714-1857 Ph: (520) 333-4320 |
| NPI Number | 1346959277 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Medicare PECOS PAC ID | 1153775853 |
|---|---|
| Medicare Enrollment ID | O20230929000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346959277 | NPI | - | NPPES |
| OTC12525 | Other | AZ | ADHS/BMFL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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