| 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 |