BANSA HOUSE LLC NPI 1144796681

NPI Information

BANSA HOUSE LLC is a residential treatment facility, intellectual and/or developmental 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 developmental and intellectual disabilities and are not able to live independently. BANSA HOUSE LLC NPI is 1144796681. The provider is registered as an organization entity type.

The provider's business location address is:

7225 E STELLA RD
TUCSON, AZ
ZIP 85730-336
Phone: (520) 891-0513

The provider's authorized official is Agendia Taku .
The authorized official title is Member and has the following contact phone number (520) 388-9814.

The enumeration date for this NPI number is 10/23/2018 and was last updated on 1/8/2021.

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:

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