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Organization
SPRINGDALE VILLAGE, INC.
Active
Organization
SPRINGDALE VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA L CARLSON (CHIEF EXECUTIVE OFFICER)
(480) 924-7777
Entity
Organization
Contact information
Practice address
7255 E BROADWAY RD, MESA, AZ 85208-9201
(480) 981-8844
(480) 981-6998
Mailing address
7255 E BROADWAY RD, MESA, AZ 85208-9201
(480) 981-8844
(480) 981-6998
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-426
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057639
—
AZ
Enumeration date
08/31/2006
Last updated
08/22/2020
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