Provider Demographics
NPI:1659964989
Name:HOSPICE OF TUCSON INC
Entity Type:Organization
Organization Name:HOSPICE OF TUCSON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TIMURYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-909-9866
Mailing Address - Street 1:4400 E BROADWAY BLVD STE 600O
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3554
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4400 E BROADWAY BLVD STE 600O
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-3554
Practice Address - Country:US
Practice Address - Phone:520-372-4365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based