Organization
SUNRISE MESA HEALTH CARE CENTER INC
Active
Other names
Springdale West
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA L CARLSON (CHIEF EXECUTIVE OFFICER)
(480) 924-7777
Entity
Organization
Contact information
Practice address
3130 E BROADWAY RD, MESA, AZ 85204-1740
(480) 924-7777
(480) 924-5712
Mailing address
3130 E BROADWAY RD, MESA, AZ 85204-1740
(480) 924-7777
(480) 924-5712
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-416
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041468
—
AZ
Enumeration date
08/31/2006
Last updated
08/22/2020
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