Organization
ALLEGIANT HEALTHCARE OF TUCSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE WEINTRAUB (MANAGER)
(718) 812-7506
Entity
Organization
Contact information
Practice address
2900 E MILBER ST, TUCSON, AZ 85714-2097
(520) 294-0005
Mailing address
3130 E BROADWAY RD, MESA, AZ 85204-1740
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
—
—
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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