Paul Hernandez, MANAGER
Paul Hernandez, MANAGER is an Adult Care Home Facility in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2024
Practice location Address checks out
685 W Roller Coaster RdTucson, AZ 85704-3817
Phone: (520) 293-3404
Fax: (520) 989-9885
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Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence AL0128H (AZ) |
|---|
Record details
| NPI number | 1164264420 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MANAGER |
| Sole proprietor | Yes |
| NPI enumerated | June 8, 2024 |
| Last updated in NPPES | June 8, 2024 |
| Certification date | June 8, 2024 |
| Mailing address | 685 W Roller Coaster Rd, Tucson, AZ 85704-3817 |
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