VILLA MARIA CARE CENTER LLC NPI 1154826527

NPI Information

VILLA MARIA CARE CENTER, LLC is a substance abuse rehabilitation facility in Tucson, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. VILLA MARIA CARE CENTER, LLC NPI is 1154826527. The provider is registered as an organization entity type.
The provider Is Doing Business As Tucson Recovery Villa Maria.

The provider's business location address is:

4310 E GRANT RD STE A
TUCSON, AZ
ZIP 85712-607
Phone: (520) 323-9351
Fax: (520) 323-6490

The provider's authorized official is Terry Mcnellis .
The authorized official title is Owner and has the following contact phone number (612) 991-9062.

The CLIA number assigned to this NPI record is 03D2155237 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2018 and was last updated on 9/28/2020.

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.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.