Organization
SUNCREST HEALTHCARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ZIMBELMAN (PRESIDENT)
(816) 232-9573
Entity
Organization
Contact information
Practice address
2211 E SOUTHERN AVE, PHOENIX, AZ 85040-3408
(602) 305-7134
(602) 305-8862
Mailing address
2211 E SOUTHERN AVE, PHOENIX, AZ 85040-3408
(602) 305-7134
(602) 305-8862
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI050
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497661
—
AZ
Enumeration date
04/07/2006
Last updated
04/09/2013
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