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TOATE GANAGO

Contractor

NPI: 1720439961Individual

Specialties, Licenses & Credentials

Community Based Residential Treatment Facility, Mental Illness

Code: 320800000X

BH4917(AZ)

Respite Care

Code: 385H00000X

BH4917(AZ)
ContractorPrimary

Contractor

Code: 171W00000X

BH4917(AZ)

Contact & Hours

Address
6781 S AQUILINE DR
TUCSON, AZ 85756

Quick Facts

NPI
1720439961
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
3
Locations
1

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