- Enrollment id
- O20170601000420
- Enrollment state
- AZ
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1891234126
- Multiple npi flag
- N
- Ccn
- 035295
- Associate id
- 9931476645
- Organization name
- CENTER AT TUCSON LLC
- Doing business as name
- THE CENTER AT TUCSON
- Incorporation date
- 2016-05-27
- Incorporation state
- CO
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- THE CENTER AT TUCSON
- Affiliation entity name
- VERITAS MANAGEMENT GROUP
- Affiliation entity id
- 545
- Address line 1
- 5020 E GLENN ST
- City
- TUCSON
- State
- AZ
- Zip code
- 857121214