Organization
MOUNT LEMMON HEALTHCARE LLC
Active
Other names
Villa Maria Care Center Outpatient Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
4310 E GRANT RD, TUCSON, AZ 85712-2607
(520) 323-9351
(520) 323-4087
Mailing address
4310 E GRANT RD, TUCSON, AZ 85712-2607
(520) 323-9351
(520) 323-4087
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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