# KINDRED NURSING CENTERS WEST, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kindred Transitional Care - Phoenix
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548657083
- **Authorized official:** MARILYN A. WEAVER (ASSISTANT SECRETARY)
- **Authorized official phone:** (502) 596-7563

## Contact information

- **Practice address:** 1880 E VAN BUREN ST, PHOENIX, AZ 85006-3742
- **Practice address phone:** (602) 253-4570
- **Practice address fax:** (602) 253-4606
- **Mailing address:** 680 S 4TH ST \# KH-2, LOUISVILLE, KY 40202-2407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCI-2737 | AZ | Yes |

## Other

- **Enumeration date:** 04/22/2015
- **Last updated:** 11/29/2017
