| NPI | 1831322676 |
|---|---|
| Doing Business As | HACIENDA SNF TRANSPORT |
| Entity Type | Organization |
| Authorized Contact | DALE NORMAN SKURDAHL Chief Operating Officer 602-243-4231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ LTC 0195) |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: AZ LTC 0195) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |