Hacienda Skilled Nursing Facility
Hacienda Skilled Nursing Facility is a Pediatric Skilled Nursing Facility in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2009.
- Licensed in
- AZ
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
1402 E South Mountain AvePhoenix, AZ 85042-7925
Phone: (602) 243-4231
Fax: (602) 323-5988
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
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X · Licence LTC 0195 (AZ) |
|---|---|
| Pediatric Skilled Nursing Facility | Taxonomy 3140N1450X · Licence LTC 0195 (AZ) |
Record details
| NPI number | 1831322676 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dale Skurdahl — Chief Operating Officer · (602) 243-4231 |
| Other names | Hacienda Snf Transport |
| NPI enumerated | August 27, 2009 |
| Last updated in NPPES | August 27, 2009 |
| Mailing address | 1402 E South Mountain Ave, Phoenix, AZ 85042-7925 |
Other providers in Phoenix
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Cartwright School District
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-
Delta-T Nursing
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-
Meredith Hurt
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