Komako House

LBN: Komako House
Komako House is an health care organization with primary practice located at 3560 W Fenton Way , Tucson AZ 85746-2550. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Komako House can be contacted via phone (520) 272-7911, or through Siaha, Jean via phone (520) 272-7911.

Contact Information

Primary practice address
3560 W Fenton Way Tucson AZ 85746-2550
Phone: (520) 272-7911
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Siaha, Jean
Phone: (520) 272-7911

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH3831 Arizona

Profile Details

NPI number 1073812152
LBN Legal business name Komako House
DBA Doing business as
Authorized official Siaha, Jean
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2011
Last updated Mar 15th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers