| NPI | 1710976956 |
|---|---|
| Former Legal Business Name | HACIENDA, INC. |
| Entity Type | Organization |
| Authorized Contact | DALE NORMAN SKURDAHL Chief Operating Officer Med Serv. 602-243-4231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI-2617) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-08-22 |