# SUNRISE MOUNTAIN HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AZ - Rio Vista Post Acute and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245797968
- **Authorized official:** SOON BURNAM (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (949) 487-9500

## Contact information

- **Practice address:** 10323 W OLIVE AVE, PEORIA, AZ 85345-7345
- **Practice address phone:** (623) 875-0100
- **Practice address fax:** (602) 457-7069
- **Mailing address:** 10323 W OLIVE AVE, PEORIA, AZ 85345-7345
- **Mailing address phone:** (623) 875-0100
- **Mailing address fax:** (623) 875-0110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/28/2019
- **Last updated:** 03/28/2025