Organization
OASIS PAVILION NURSING AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT E MORIN (MEMBER/ADMINISTRATOR)
(520) 836-1772
Entity
Organization
Contact information
Practice address
161 W RODEO RD, CASA GRANDE, AZ 85122-6201
(520) 836-1772
Mailing address
161 W RODEO RD, CASA GRANDE, AZ 85122-6201
(520) 836-1772
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-2692
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035276
PTAN
AZ
Enumeration date
11/16/2009
Last updated
08/19/2011
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