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Organization
MOUNT LEMMON HEALTHCARE LLC
Active
Organization
MOUNT LEMMON HEALTHCARE LLC
Active
Other names
Villa Maria Care Center Outpatient Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
4310 E GRANT RD, TUCSON, AZ 85712-2607
(520) 323-9351
(520) 323-4087
Mailing address
4310 E GRANT RD, TUCSON, AZ 85712-2607
(520) 323-9351
(520) 323-4087
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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