Organization
SIERRA LAND
Active
Other names
Sunview Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DOOD (ADMINISTRATOR)
(623) 977-6532
Entity
Organization
Contact information
Practice address
12207 N 113TH AVE, YOUNGTOWN, AZ 85363-1208
(623) 977-6532
(623) 977-6541
Mailing address
12207 N 113TH AVE, YOUNGTOWN, AZ 85363-1208
(623) 977-6532
(623) 977-6541
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-1504
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
538233-.01
—
AZ
01
—
AZ0401440
BLUECROSS BLUE SHIELD
AZ
Enumeration date
11/07/2005
Last updated
07/31/2009
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