Organization
PHOENIX MOUNTAIN NURSING CENTER, INC.
Active
Other names
Phoenix Mountain Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARY B HARKINS (TREASURER)
(816) 734-0533
Entity
Organization
Contact information
Practice address
13232 N TATUM BLVD, PHOENIX, AZ 85032-6459
(602) 996-5200
(602) 996-6160
Mailing address
13232 N TATUM BLVD, PHOENIX, AZ 85032-6459
(602) 996-5200
(602) 996-6160
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-2673
AZ
Other
Enumeration date
04/14/2008
Last updated
09/06/2017
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