Organization
LIFE CARE CENTERS OF AMERICA, INC.
Active
Other names
Citadel Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
5121 E BROADWAY RD, MESA, AZ 85206-1308
(480) 832-5555
(480) 924-0090
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
ALC2407
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356148
—
AZ
Enumeration date
05/26/2006
Last updated
09/15/2021
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