| Tender Loving Care Home Llc | |
|
6010 E Seneca St Tucson AZ 85712-3001 | |
| (520) 250-7898 | |
| (520) 886-1413 |
| Full Name | Tender Loving Care Home Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6010 E Seneca St, Tucson, Arizona |
| Authorized Official Name and Position | Gaetan Ntezeh Nkemzi (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5202507898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tender Loving Care Home Llc 7232 E Montecito Dr Tucson AZ 85710-4922 Ph: (520) 250-7898 | Tender Loving Care Home Llc 6010 E Seneca St Tucson AZ 85712-3001 Ph: (520) 250-7898 |
| NPI Number | 1730602913 |
|---|---|
| Provider Enumeration Date | 07/19/2017 |
| Last Update Date | 07/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730602913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH5236 (Arizona) | Primary |
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