Organization
SUN HEALTH GRANDVIEW TERRACE, LLP
Active
Parent organization
SUN HEALTH GRANDVIEW TERRACE, LLP
Other names
Grandview Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUN HEALTH GRANDVIEW TERRACE, LLP
Authorized official
BHAKTI GOSALIA (EXECUTIVE DIRECTOR)
(623) 975-8030
Entity
Organization
Contact information
Practice address
14515 W GRANITE VALLEY DR, SUN CITY WEST, AZ 85375-6021
(623) 975-8042
Mailing address
14515 W GRANITE VALLEY DR, SUN CITY WEST, AZ 85375-6021
(623) 975-8042
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OTC 3844
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC 3844
ARIZONA DEPARTMENT OF HEALTH SERVICES LICENSE
AZ
Enumeration date
05/19/2008
Last updated
12/10/2015
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