Whalio Doctors

NPI 1528005501

Life Care Centers of America, INC.

Organisation Skilled Nursing Facility Glendale, AZ

Practice location

Address
4704 W Diana Ave, Glendale, AZ 85302-5125
Phone
(623) 247-3949
Fax
(623) 930-1104
Mailing address
3001 Keith St NW, Cleveland, TN 37312-3713

Authorised official

Name
Cindy S Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Registered specialties

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NCI-330 (AZ)

Registry record

NPI
1528005501
Entity type
Organization
NPI issued
31 May 2006
Record last updated
15 Sep 2021

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.