HACIENDA SKILLED NURSING FACILITY NPI 1831322676

NPI Information

HACIENDA SKILLED NURSING FACILITY is a non emergency medical transport van in Phoenix, AZ. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. HACIENDA SKILLED NURSING FACILITY NPI is 1831322676. The provider is registered as an organization entity type.
The provider Is Doing Business As Hacienda Snf Transport.

The provider's business location address is:

1402 E SOUTH MOUNTAIN AVE
PHOENIX, AZ
ZIP 85042-925
Phone: (602) 243-4231
Fax: (602) 323-5988

The provider's authorized official is Dale Norman Skurdahl .
The authorized official title is Chief Operating Officer and has the following contact phone number (602) 243-4231.

The enumeration date for this NPI number is 8/27/2009 and was last updated on 8/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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