Organization
OASIS PAVILION NURSING AND REHABILITATION CENTER LLC-OTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH U OPARA (ADMINISTRATOR)
(520) 836-1772
Entity
Organization
Contact information
Practice address
161 W RODEO RD, CASA GRANDE, AZ 85122-6201
(520) 836-1772
(520) 421-4966
Mailing address
161 W RODEO RD, CASA GRANDE, AZ 85122-6201
(520) 836-1772
(520) 421-4966
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-2692
AZ
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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