Provider Demographics
NPI:1770253338
Name:MEADOWS CATALINA LLC
Entity type:Organization
Organization Name:MEADOWS CATALINA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGEBRETSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-242-0124
Mailing Address - Street 1:11175 E EDISON ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85749-9773
Mailing Address - Country:US
Mailing Address - Phone:928-242-0124
Mailing Address - Fax:928-367-5862
Practice Address - Street 1:11175 E EDISON ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85749-9773
Practice Address - Country:US
Practice Address - Phone:928-242-0124
Practice Address - Fax:928-367-5862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health