Organization
LIFE CARE CENTERS OF AMERICA, INC.
Active
Other names
Life Care Center of South Mountain
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
8008 S JESSE OWENS PKWY, PHOENIX, AZ 85042-6516
(602) 243-2780
(602) 243-7079
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-1251
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377558
—
AZ
Enumeration date
05/31/2006
Last updated
09/15/2021
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