Organization
AZORE II, LLC
Active
Parent organization
PINNACLE HEALTHCARE, INC.
Other names
Chris Ridge Premier Care & Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINNACLE HEALTHCARE, INC.
Authorized official
MR. MARK GARBER (CHIEF FINANCIAL OFFICER)
(541) 746-1020
Entity
Organization
Contact information
Practice address
6246 N 19TH AVE, PHOENIX, AZ 85015-1511
(602) 433-6300
(602) 433-6458
Mailing address
1077 GATEWAY LOOP, SPRINGFIELD, OR 97477-1114
(541) 746-1020
(541) 284-7072
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI2661
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137010
—
AZ
Enumeration date
06/21/2006
Last updated
02/23/2015
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