NPI 1205977261

Cornwall Health Systems, INC

Organisation Adult Care Home Facility Phoenix, AZ

Practice location

Address: 4229 N 82nd Ave, Phoenix, AZ 85033-2332
Phone: (623) 845-0774
Fax: (623) 974-8322

Authorised official

Name: Lorna Ophelia Callender
Title: Administrator Manager
Phone: (623) 845-0774

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence ALH5269 (AZ)

Other Custodial Care Facility providers in Arizona →

Registry record

NPI: 1205977261
Entity type: Organization
NPI issued: 10 Feb 2007
Record last updated: 28 Sep 2007

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.