MYRNA DORAME ALF OWNER
NPI 1194337568
Assisted Living Facility in Tucson, AZ
Active since August 18, 2020
About Myrna Dorame Alf Owner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MYRNA DORAME ALF OWNER (NPI 1194337568) is an individual assisted living facility provider in Tucson, Arizona, licensed in Arizona (AL10039H) and active in the NPI registry since August 2020.
NPPES Registry Identity
NPI1194337568
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameMYRNA DORAMECredential: ALF OWNER
Location Address1532 S PERLMAN AVETucson, AZ 85710-8523
Mailing Address1532 S Perlman AveTucson, AZ 85710-8523 · (520) 393-9389 · Fax (520) 741-1465
Phone(520) 393-9389
Fax(520) 741-1465
Sole ProprietorYes
Enumeration DateAugust 18, 2020
NPPES CertifiedAugust 18, 2020
✔ NPI 1194337568 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in AZ · AL10039H
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1532 S PERLMAN AVE, Tucson, AZ 85710
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194337568, enumerated as an "individual" on August 18, 2020.
The provider is located at 1532 S PERLMAN AVE TUCSON, AZ 85710 and the phone number is (520) 393-9389.
Assisted Living Facility with taxonomy code 310400000X.
