1831322676 HACIENDA SKILLED NURSING FACILITY

Non-emergency Medical Transport (VAN)

Active

Basic Information

Organization Name
HACIENDA SKILLED NURSING FACILITY
Enumeration Date
August 27, 2009
Last Update
August 27, 2009
Authorized Official
MR. DALE NORMAN SKURDAHL
CHIEF OPERATING OFFICER
Phone: (602) 243-4231

Practice Location

Address
1402 E SOUTH MOUNTAIN AVE
PHOENIX, AZ 850427925
Phone
(602) 243-4231
Fax
(602) 323-5988

Mailing Address

Address
1402 E SOUTH MOUNTAIN AVE
PHOENIX, AZ 850427925
Phone
(602) 243-4231
Fax
(602) 323-5988

Specialties & Taxonomies

Specialty Code Classification License State Primary
Pediatric Skilled Nursing Facility
Nursing Care, Pediatric
3140N1450X Skilled Nursing Facility LTC 0195 AZ No
Non-emergency Medical Transport (VAN)
343900000X Non-emergency Medical Transport (VAN) LTC 0195 AZ Primary

Other Identifiers

Identifier Type State Issuer
544032 05 AZ N/A
LTC 0195 01 AZ STATE LICENSE
03D1096517 01 AZ CLIA

Frequently Asked Questions

What is HACIENDA SKILLED NURSING FACILITY's NPI number?
HACIENDA SKILLED NURSING FACILITY's NPI number is 1831322676.
Which doctor has NPI number 1831322676?
The doctor with NPI number 1831322676 is HACIENDA SKILLED NURSING FACILITY.
What is HACIENDA SKILLED NURSING FACILITY's practice address?
HACIENDA SKILLED NURSING FACILITY's practice address is 1402 E SOUTH MOUNTAIN AVE, PHOENIX, AZ, 850427925.
Which doctor practices at 1402 E SOUTH MOUNTAIN AVE, PHOENIX, AZ, 850427925?
HACIENDA SKILLED NURSING FACILITY practices at 1402 E SOUTH MOUNTAIN AVE, PHOENIX, AZ, 850427925.
What is HACIENDA SKILLED NURSING FACILITY's phone number?
HACIENDA SKILLED NURSING FACILITY's phone number is (602) 243-4231.
Who is (602) 243-4231?
(602) 243-4231 is the phone number for HACIENDA SKILLED NURSING FACILITY.
What is HACIENDA SKILLED NURSING FACILITY's specialty?
HACIENDA SKILLED NURSING FACILITY's specialty is Non-emergency Medical Transport (VAN).
What type of doctor is HACIENDA SKILLED NURSING FACILITY?
HACIENDA SKILLED NURSING FACILITY is a Non-emergency Medical Transport (VAN).
Is HACIENDA SKILLED NURSING FACILITY a Non-emergency Medical Transport (VAN)?
Yes, HACIENDA SKILLED NURSING FACILITY is a Non-emergency Medical Transport (VAN).
Is HACIENDA SKILLED NURSING FACILITY still practicing?
Yes, HACIENDA SKILLED NURSING FACILITY is currently practicing.
Is HACIENDA SKILLED NURSING FACILITY accepting new patients?
HACIENDA SKILLED NURSING FACILITY may be accepting new patients. Please call their office at (602) 243-4231 to inquire about availability.
Is NPI 1831322676 still active?
Yes, NPI 1831322676 is currently active.
Where does HACIENDA SKILLED NURSING FACILITY practice?
HACIENDA SKILLED NURSING FACILITY practices in PHOENIX, AZ.