Organization
PARK WAVERLY HEALTHCARE LLC
Active
Other names
Park Avenue Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
2001 N PARK AVE, TUCSON, AZ 85719-3558
(520) 882-6151
(520) 620-1547
Mailing address
2001 N PARK AVE, TUCSON, AZ 85719-3558
(520) 882-6151
(520) 620-1547
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC9390
AZ DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
04/29/2019
Last updated
04/29/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us