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Organization
DELTA-T NURSING
Active
Organization
DELTA-T NURSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GREEN (RN)
(623) 329-1943
Entity
Organization
Contact information
Practice address
7500 N DREAMY DRAW DR, SUITE 205, PHOENIX, AZ 85020-4660
(602) 870-5051
Mailing address
7500 N DREAMY DRAW DR, SUITE 205, PHOENIX, AZ 85020-4660
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
LP046241
AZ
Other
Enumeration date
02/25/2012
Last updated
02/25/2012
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