Healthcare Provider Details

I. General information

NPI: 1063626919
Provider Name (Legal Business Name): BES CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 W 41ST ST
TUCSON AZ
85713-5842
US

IV. Provider business mailing address

720 W 41ST ST
TUCSON AZ
85713-5842
US

V. Phone/Fax

Practice location:
  • Phone: 520-624-0784
  • Fax: 520-624-3050
Mailing address:
  • Phone: 520-624-0784
  • Fax: 520-624-3050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberALH-4112
License Number StateAZ

VIII. Authorized Official

Name: MARTHA FRIEDMAN
Title or Position: PRESIDENT
Credential:
Phone: 303-840-7514