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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active Organization

Nursing Facility/Intermediate Care Facility · SAN TAN VALLEY, AZ

Registration Details

NPI Number
1205556016
Provider Type
Organization
NPI Issued
Aug 31, 2022 (3.6392330016378 yrs)
Last Updated
Aug 31, 2022

Practice Information

Address
30046 N VARNUM RD
SAN TAN VALLEY, AZ, 851437065
Browse AZ providers · Browse ZIP 85143
Phone
5204003184
Fax
4809994374
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.