NPI: 1932701075
Provider Name: WILLOW CANYON HEALTHCARE LLC
Doing Business As: PUEBLO SPRINGS REHABILITATION CENTER
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
CLIA Number: 03D0664307
Address:
5545 E LEE ST
TUCSON, AZ
ZIP 85712
Phone: (520) 296-2306
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WILLOW CANYON HEALTHCARE LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Tucson, AZ. WILLOW CANYON HEALTHCARE LLC NPI is 1932701075. The provider is registered as an organization entity type.
The provider Is Doing Business As Pueblo Springs Rehabilitation Center.
The provider's business location address is:
5545 E LEE ST
TUCSON, AZ
ZIP 85712-205
Phone: (520) 296-2306
Fax: (520) 296-4072
The provider's authorized official is Soon Burnam .
The authorized official title is Treasurer and has the following contact phone number (949) 540-1249.
The CLIA number assigned to this NPI record is 03D0664307 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/13/2020 and was last updated on 7/20/2022.