Organization · Type 2 NPI

Ponderosa Pine Healthcare, Inc.

Skilled Nursing Facility · Mesa, AZ

NPI number 1235865254 Active

Practice location

3130 E Broadway Rd
Mesa, AZ 85204-1740

Fax (480) 924-5712

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

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 1235865254

Ponderosa Pine Healthcare, Inc.'s National Provider Identifier is 1235865254, issued on Aug 1, 2022. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Mesa, AZ. The record was last updated on Aug 1, 2022.