Organization
LOOKOUT MOUNTAIN HEALTHCARE LLC
Active
Other names
Phoenix Mountain Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
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
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/20/2022
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