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Organization
PHOENIX MOUNTAIN NURSING CENTER, INC.
Active
Organization
PHOENIX MOUNTAIN NURSING CENTER, INC.
Active
Other names
Phoenix Mountain Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARY B HARKINS (TREASURER)
(816) 734-0533
Entity
Organization
Contact information
Practice address
13232 N TATUM BLVD, PHOENIX, AZ 85032-6459
(602) 996-5200
(602) 996-6160
Mailing address
13232 N TATUM BLVD, PHOENIX, AZ 85032-6459
(602) 996-5200
(602) 996-6160
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-2673
AZ
Other
Enumeration date
04/14/2008
Last updated
09/06/2017
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