DANVILLE SERVICES OF ARIZONA L.L.C. NPI 1043424278

NPI Information

DANVILLE SERVICES OF ARIZONA, L.L.C. is a community based residential treatment facility, intellectual and/or developmental disabilities in Tucson, AZ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. DANVILLE SERVICES OF ARIZONA, L.L.C. NPI is 1043424278. The provider is registered as an organization entity type.

The provider's business location address is:

17 W WETMORE RD
#201
TUCSON, AZ
ZIP 85705-671
Phone: (520) 327-9889
Fax: (520) 320-0658

The provider's authorized official is Luis Daniel Padilla .
The authorized official title is State Director and has the following contact phone number (520) 327-9889.

The CLIA number assigned to this NPI record is 03D2203093 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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