NPI 1083613608

Cvcc, LLC

Organisation Skilled Nursing Facility Mesa, AZ

Practice location

Address: 60 S 58th St, Mesa, AZ 85206-1507
Phone: (480) 832-3903
Fax: (480) 981-0963

Authorised official

Name: Deborah D Harwood
Title: Administrator
Phone: (480) 832-3903

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NCI-2632 (AZ)

Other Skilled Nursing Facility providers in Arizona →

Registry record

NPI: 1083613608
Entity type: Organization
NPI issued: 15 Jul 2005
Record last updated: 25 Jun 2009

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.