# 24TH STREET HEALTHCARE ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Desert Terrace Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760477541
- **Authorized official:** MS. SOON BURNAM (AUTHORIZED AGENT)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 2509 N 24TH ST, PHOENIX, AZ 85008-1805
- **Practice address phone:** (602) 273-1347
- **Practice address fax:** (602) 273-6260
- **Mailing address:** 2509 N 24TH ST, PHOENIX, AZ 85008-1805
- **Mailing address phone:** (602) 273-1347
- **Mailing address fax:** (602) 273-6260

## Taxonomy

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

## Other

- **Enumeration date:** 09/16/2005
- **Last updated:** 02/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 688062 | — | AZ |