BUENA VISTA RECOVERY LLC NPI 1851917488

NPI Information

BUENA VISTA RECOVERY, LLC is a residential treatment facility physical disabilities in Tucson, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. BUENA VISTA RECOVERY, LLC NPI is 1851917488. The provider is registered as an organization entity type.

The provider's business location address is:

5151 E PIMA ST STE 120
TUCSON, AZ
ZIP 85712-627
Phone: (800) 922-0095
Fax: (602) 325-2082

The provider's authorized official is Kristina Honiotes .
The authorized official title is Chief Operating Officer and has the following contact phone number (480) 999-0851.

The CLIA number assigned to this NPI record is 03D2178737 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2020 and was last updated on 7/12/2023.

Taxonomy Codes

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Other Identifiers

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