NPI 1295716454

Sierra Land

Organisation Skilled Nursing Facility Youngtown, AZ

Practice location

Address: 12207 N 113th Ave, Youngtown, AZ 85363-1208
Phone: (623) 977-6532
Fax: (623) 977-6541

Authorised official

Name: James Dood
Title: Administrator
Phone: (623) 977-6532

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NCI-1504 (AZ)

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Registry record

NPI: 1295716454
Entity type: Organization
NPI issued: 7 Nov 2005
Record last updated: 31 Jul 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.