Organization
WILLOW CANYON HEALTHCARE LLC
Active
Other names
Pueblo Springs Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
5545 E LEE ST, TUCSON, AZ 85712-4205
(520) 296-2306
(520) 296-4072
Mailing address
5545 E LEE ST, TUCSON, AZ 85712-4205
(520) 296-2306
(520) 296-4072
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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