Organization
CASA GRANDE COMMUNITY HOSPITAL
Active
Other names
Desert Pavilion Skilled Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MARTY DERNIER (CEO)
(520) 381-6453
Entity
Organization
Contact information
Practice address
950 N ARIZOLA RD, CASA GRANDE, AZ 85222-6000
(520) 381-6650
Mailing address
950 N ARIZOLA RD, CASA GRANDE, AZ 85222-6000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-352
AZ
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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