| Organization Name: | CATHOLIC COMMUNITY SERVICES IN SOUTHERN ARIZONA |
| NPI Number: | 1508838517 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RADI ANN PORTER (DIRECTOR HOME HEALTH PROGRAM) |
| Mailing Address: | #19 Howell Avenue Bisbee |
| State: | AZ US |
| Postal Code: | 85603 |
| Phone Number: | 5204322285 |
| Fax Number: | 5204322009 |
| NPI Enumeration Date: | 02/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | HHA0112 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |