Five Star Desert Harbor LLC
Five Star Desert Harbor LLC is a Skilled Nursing Facility in Peoria, Arizona. Licensed in Arizona. Registered with an NPI since 2006.
- Licensed in
- AZ
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13840 N Desert Harbor DrPeoria, AZ 85381-3501
Phone: (623) 972-0995
Fax: (623) 977-5271
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence NCI-421 (AZ) |
|---|
Record details
| NPI number | 1528023033 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Five Star Desert Harbor LLC |
| Authorized official | Katherine Potter — President & Chief Executive Officer · (617) 796-8387 |
| Other names | The Forum At Desert Harbor; The Forum At Desert Harbor |
| NPI enumerated | April 18, 2006 |
| Last updated in NPPES | March 28, 2019 |
| Mailing address | 13840 N Desert Harbor Dr, Peoria, AZ 85381-3501 |
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