NPI | 1932105962 |
---|---|
Doing Business As | LIFESTREAM AT SUN RIDGE |
Entity Type | Organization |
Authorized Contact | RONALD ESTES Chief Financial Officer 623-933-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI-406) |
Enumeration Date | 2005-06-23 |
Last Update Date | 2013-05-21 |