Organization
HEARTHSTONE HOSPITAL - MESA, LLC
Active
Other names
Trillium Specialty Hospital - East Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN DE SOUZA (PRESIDENT)
(480) 945-7711
Entity
Organization
Contact information
Practice address
215 S POWER RD, MESA, AZ 85206-5235
(480) 985-6992
(480) 981-8390
Mailing address
4440 N CIVIC CENTER PLZ, SCOTTSDALE, AZ 85251-3513
(480) 945-7711
(480) 945-8266
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
SH4388
AZ
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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