Organization
LA ESTANCIA SNF HEALTHCARE, LLC
Active
Other names
Ahwatukee Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
15810 S 42ND ST, PHOENIX, AZ 85048-7409
(480) 759-0358
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
01/22/2025
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