NPI 1437518537

Gompers Habilitation Center

Organisation Nursing Facility/Intermediate Care Facility Phoenix, AZ

Practice location

Address: 6601 N 27th Ave, Phoenix, AZ 85017-1219
Phone: (602) 336-0061
Fax: (602) 336-0249

Authorised official

Name: Tina Maria Jenkins
Title: Lpn School Nurse
Phone: (623) 227-8660

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence LP030525 (AZ)

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Registry record

NPI: 1437518537
Entity type: Organization
NPI issued: 17 Feb 2016
Record last updated: 17 Feb 2016

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.