Azore II, LLC
Skilled Nursing Facility in Phoenix, AZ. Organization (NPI-2).
NPI number1124064605
StatusActive
Last updated in NPPESFeb 23, 2015
Details
- NPI
- 1124064605
- Entity type
- Organization (NPI-2)
- Legal business name
- Azore II, LLC
- Organization subpart
- Yes
- Enumeration date
- Jun 21, 2006
- Last updated
- Feb 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | NCI2661 | AZ | Yes |
Other names
- Chris Ridge Premier Care & Rehabilitation Center (Doing Business As)
Practice location
6246 N 19th AvePhoenix, AZ 85015-1511
Phone 602-433-6300 · Fax 602-433-6458
Mailing address
1077 Gateway LoopSpringfield, OR 97477-1114
Phone 541-746-1020 · Fax 541-284-7072
Authorized official
Mark Garber
Chief Financial Officer
5417461020
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