# MOUNT LEMMON HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Villa Maria Care Center Outpatient Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588303929
- **Authorized official:** SOON BURNAM (TREASURER)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 4310 E GRANT RD, TUCSON, AZ 85712-2607
- **Practice address phone:** (520) 323-9351
- **Practice address fax:** (520) 323-4087
- **Mailing address:** 4310 E GRANT RD, TUCSON, AZ 85712-2607
- **Mailing address phone:** (520) 323-9351
- **Mailing address fax:** (520) 323-4087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/02/2022
- **Last updated:** 06/02/2022