Organization
HERITAGE AT CAREFREE
Active
Other names
HERITAGE HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA DANIELA HOLBURA MBA (EXECUTIVE DIRECTOR)
(480) 488-1622
Entity
Organization
Contact information
Practice address
36590 N. PIMA ROAD, CAREFREE, AZ 85377-3481
(480) 488-1622
Mailing address
PO BOX 3481, CAREFREE, AZ 85377-3481
(480) 488-1622
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
ALC-5482
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251831
—
AZ
Enumeration date
11/26/2008
Last updated
11/26/2008
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