Organization
24TH STREET HEALTHCARE ASSOCIATES LLC
Active
Other names
Desert Terrace Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOON BURNAM (AUTHORIZED AGENT)
(949) 540-1249
Entity
Organization
Contact information
Practice address
2509 N 24TH ST, PHOENIX, AZ 85008-1805
(602) 273-1347
(602) 273-6260
Mailing address
2509 N 24TH ST, PHOENIX, AZ 85008-1805
(602) 273-1347
(602) 273-6260
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688062
—
AZ
Enumeration date
09/16/2005
Last updated
02/16/2021
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