Allegiant Healthcare Of Phoenix LLC
Skilled Nursing Facility in Phoenix, AZ. Organization (NPI-2).
NPI number1619491123
StatusActive
Last updated in NPPESJun 2, 2021
Details
- NPI
- 1619491123
- Entity type
- Organization (NPI-2)
- Legal business name
- Allegiant Healthcare Of Phoenix LLC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2017
- Certification date
- Jun 2, 2021
- Last updated
- Jun 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
| 3140N1450X | Skilled Nursing Facility, Nursing Care, Pediatric | – | – |
Practice location
1880 E Van Buren StPhoenix, AZ 85006-3742
Phone 602-253-4570
Mailing address
1880 E Van Buren StPhoenix, AZ 85006-3742
Phone 480-417-7594
Authorized official
Brenda Cody
Administrator
6022534570
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