Provider Demographics
NPI:1750603759
Name:SOUTHERN ARIZONA FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:SOUTHERN ARIZONA FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-215-0200
Mailing Address - Street 1:350 S WILLIAMS BLVD
Mailing Address - Street 2:#270
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-4496
Mailing Address - Country:US
Mailing Address - Phone:520-512-0200
Mailing Address - Fax:520-512-0198
Practice Address - Street 1:350 S WILLIAMS BLVD
Practice Address - Street 2:#270
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-4496
Practice Address - Country:US
Practice Address - Phone:520-512-0200
Practice Address - Fax:520-512-0198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care