NPI 1003470634

Park Waverly Healthcare LLC

Organisation Comprehensive Outpatient Rehabilitation Facility (CORF) Tucson, AZ

Practice location

Address: 2001 N Park Ave, Tucson, AZ 85719-3558
Phone: (520) 882-6151
Fax: (520) 620-1547

Authorised official

Name: Soon Burnam
Title: Treasurer
Phone: (949) 540-1249

Registered specialties

Comprehensive Outpatient Rehabilitation Facility (CORF) Primary

Ambulatory Health Care Facilities Taxonomy 261QR0401X

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Registry record

NPI: 1003470634
Entity type: Organization
NPI issued: 29 Apr 2019
Record last updated: 29 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.