# OCOTILLO HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chandler Post Acute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851768865
- **Authorized official:** SOON BURNAM (TREASURER)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 2121 W ELGIN ST, CHANDLER, AZ 85224-5608
- **Practice address phone:** (480) 899-6717
- **Practice address fax:** (480) 899-6364
- **Mailing address:** 2121 W ELGIN ST, CHANDLER, AZ 85224-5608
- **Mailing address phone:** (480) 899-6717
- **Mailing address fax:** (480) 899-6364

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2015
- **Last updated:** 02/16/2021