Organization
SH OPERATING LLC
Active
Other names
Freedom Pain Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICE MOUSSEAU RN (ADMINISTRATOR)
(714) 809-1450
Entity
Organization
Contact information
Practice address
17500 N PERIMETER DR, SCOTTSDALE, AZ 85255-7808
(480) 586-2300
(480) 586-2221
Mailing address
17500 N PERIMETER DR, SCOTTSDALE, AZ 85255-7808
(480) 586-2300
(480) 586-2221
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
980987
—
AZ
Enumeration date
01/16/2012
Last updated
03/20/2015
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