NPI | 1053483040 |
---|---|
Doing Business As | DESERT PAVILION SKILLED NURSING FACILITY |
Entity Type | Organization |
Authorized Contact | JOHN MARTY DERNIER CEO 520-381-6453 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI-352) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2020-08-22 |