NPI | 1841844784 |
---|---|
Doing Business As | PHOENIX MOUNTAIN POST ACUTE |
Entity Type | Organization |
Authorized Contact | SOON BURNAM Treasurer 949-540-1249 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2019-07-29 |
Last Update Date | 2022-07-20 |