Provider Demographics
NPI:1508514829
Name:DESERT SURVIVORS INC.
Entity Type:Organization
Organization Name:DESERT SURVIVORS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:N
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-884-8806
Mailing Address - Street 1:1020 W STARR PASS BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-1406
Mailing Address - Country:US
Mailing Address - Phone:520-884-8806
Mailing Address - Fax:520-884-0940
Practice Address - Street 1:1020 W STARR PASS BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-1406
Practice Address - Country:US
Practice Address - Phone:520-884-8806
Practice Address - Fax:520-884-0940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty