# HARBOR MESA HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellsprings of Gilbert
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639923394
- **Authorized official:** SOON BURNAM (TREASURER)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 3319 S MERCY RD, GILBERT, AZ 85297-0400
- **Practice address phone:** (480) 729-6500
- **Practice address fax:** (480) 353-2945
- **Mailing address:** 3319 S MERCY RD, GILBERT, AZ 85297-0400
- **Mailing address phone:** (480) 729-6500
- **Mailing address fax:** (480) 353-2945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/17/2024
- **Last updated:** 09/11/2024