Organization
GLENDALE HEALTHCARE ASSOCIATES LLC
Active
Other names
Bella Vita Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
5125 N 58TH AVE, GLENDALE, AZ 85301-7453
(623) 931-5800
(623) 931-8776
Mailing address
5125 N 58TH AVE, GLENDALE, AZ 85301-7453
(623) 931-5800
(623) 931-8776
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688070
—
AZ
Enumeration date
09/16/2005
Last updated
07/21/2022
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