# PINNACLE HEALTH FACILITIES XXI LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maravilla Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407930704
- **Authorized official:** MRS. JAMIE LATTURE COLLIER (DIRECTOR OF REIMBURSEMENT)
- **Authorized official phone:** (972) 931-3800

## Contact information

- **Practice address:** 8825 S 7TH ST, PHOENIX, AZ 85042-7626
- **Practice address phone:** (602) 243-6121
- **Practice address fax:** (602) 276-7390
- **Mailing address:** 5420 W PLANO PKWY, PLANO, TX 75093-4823
- **Mailing address phone:** (972) 931-3800
- **Mailing address fax:** (972) 767-6222

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/19/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 193684 | — | AZ |