in - Skilled Nursing Facility

- NPI 1528179801

is a Skilled Nursing Facility in , . practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for is 1528179801. The last update date is .

's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!

Provider Profile Detail

Provider Name
Address , ,
Phone Number
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1528179801
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address
City
State ()
Post Code
Phone Number
Fax Number

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No NCI-426
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
57639 AZ --

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