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Organization
GLENDALE HEALTHCARE ASSOCIATES LLC
Active
Organization
GLENDALE HEALTHCARE ASSOCIATES LLC
Active
Other names
Bella Vita Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
5125 N 58TH AVE, GLENDALE, AZ 85301-7453
(623) 931-5800
(623) 931-8776
Mailing address
5125 N 58TH AVE, GLENDALE, AZ 85301-7453
(623) 931-5800
(623) 931-8776
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
OTC3638
AZ
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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