Organization · Type 2 NPI

State of Arizona State Dept of Finance

Skilled Nursing Facility · Phoenix, AZ

NPI number 1013009745 Active

Practice location

4141 North S. Herrera Way
Phoenix, AZ 85012

Call (602) 512-2955 Map

Fax (602) 265-3497

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility 314000000XNone listed
Skilled Nursing Facility Primary 314000000XNCI-447 (AZ)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1013009745

State of Arizona State Dept of Finance's National Provider Identifier is 1013009745, issued on Sep 29, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 10, 2017.