Organization
SE SURPRISE OPCO, LLC
Active
Other names
Sante of Surprise
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY O'BRIEN (VICE PRESIDENT)
(202) 329-3229
Entity
Organization
Contact information
Practice address
14775 W YORKSHIRE DR, SURPRISE, AZ 85374
(623) 594-5050
Mailing address
6841 ELM STREET, P.O. BOX 258, MCLEAN, VA 22101
(202) 329-3229
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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