Organization
PARK WAVERLY HEALTHCARE LLC
Active
Other names
Park Avenue Health and Rehabilitaion Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOON BURNAM (AUTHORIZED AGENT)
(949) 540-1249
Entity
Organization
Contact information
Practice address
2001 NORTH PARK AVENUE, TUCSON, AZ 85719-3558
(520) 882-6151
(520) 620-1547
Mailing address
2001 NORTH PARK AVENUE, TUCSON, AZ 85719-3558
(520) 882-6151
(520) 620-1547
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-2639
AZ
Other
Enumeration date
08/09/2005
Last updated
02/16/2021
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