Organization
HACIENDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY PLAMONDON (SLP)
(520) 459-4900
Entity
Organization
Contact information
Practice address
660 S CORONADO DR, SIERRA VISTA, AZ 85635-3386
(520) 459-4900
Mailing address
660 S CORONADO DR, SIERRA VISTA, AZ 85635-3386
(520) 459-4900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SLP0587
AZ
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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