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Organization
PRESIDIO HEALTH ASSOCIATES LLC
Active
Organization
PRESIDIO HEALTH ASSOCIATES LLC
Active
Other names
Catalina Post Acute and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
2611 N WARREN AVE, TUCSON, AZ 85719-3160
(520) 795-9574
(520) 321-4983
Mailing address
2611 N WARREN AVE, TUCSON, AZ 85719-3160
(520) 795-9574
(520) 321-4983
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
30064411616C
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788482
—
AZ
Enumeration date
08/18/2005
Last updated
02/16/2021
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