| NPI | 1982020137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAISRIDHAR BODDUPALLI Owner/Partner 602-476-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ 42907) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: AZ 42907) |
| 283X00000X Rehabilitation Hospital (Licence: AZ 42907) | |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-08-20 |