Organization
HIGHLAND HEALTHCARE LLC
Active
Other names
Camelback Post Acute Care and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
4635 N 14TH ST, PHOENIX, AZ 85014-4016
(602) 264-9039
Mailing address
4635 N 14TH ST, PHOENIX, AZ 85014-4016
(602) 264-9039
(602) 264-1017
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
20034076
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
514209
—
AZ
Enumeration date
08/16/2005
Last updated
02/16/2021
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