15810 SOUTH 42ND STREET OPERATIONS LLC

PHOENIX, AZ
NPI1184105850
Doing Business AsLA ESTANCIA NURSING AND REHABILITATION CENTER
Entity TypeOrganization
Authorized ContactMICHAEL BERG
Assistant Secretary
610-925-2254
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
Enumeration Date2018-08-22
Last Update Date2018-08-22
Business Address
15810 SOUTH 42ND STREET OPERATIONS LLC
15810 S 42ND ST
PHOENIX, AZ 85048-7409
Phone number: 480-759-0358
Mailing Address
15810 SOUTH 42ND STREET OPERATIONS LLC
101 E STATE ST
KENNETT SQUARE, PA 19348-3109
Phone number: 610-925-2254