24th Street Healthcare Associates LLC
Skilled Nursing Facility in Phoenix, AZ. Organization (NPI-2).
NPI number1760477541
StatusActive
Last updated in NPPESFeb 16, 2021
Details
- NPI
- 1760477541
- Entity type
- Organization (NPI-2)
- Legal business name
- 24th Street Healthcare Associates LLC
- Organization subpart
- No
- Enumeration date
- Sep 16, 2005
- Certification date
- Feb 16, 2021
- Last updated
- Feb 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | AZ | Yes |
Other names
- Desert Terrace Healthcare Center (Doing Business As)
Practice location
2509 N 24th StPhoenix, AZ 85008-1805
Phone 602-273-1347 · Fax 602-273-6260
Mailing address
2509 N 24th StPhoenix, AZ 85008-1805
Phone 602-273-1347 · Fax 602-273-6260
Authorized official
Soon Burnam
Authorized Agent
9495401249
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