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NPI Code Detail

MEDICARE: PLAZA HEALTHCARE INC

MEDICARE: PLAZA HEALTHCARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityNCI336AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063410652
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLAZA HEALTHCARE INC
Provider Business Mailing Address
First Line : 1475 N GRANITE REEF ROAD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257
Country : US
Telephone Number : 480-990-1904
Fax Number : 480-946-6286
Provider Business Practice Location Address
First Line : 1475 N GRANITE REEF ROAD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257
Country : US
Telephone Number : 480-990-1904
Fax Number : 480-946-6286
Authorized Official
Title or Position : VICE PRESIDENT
Name : MICHAEL R SCHWARTZ
Credential :
Telephone Number : 818-905-8000
Provider Enumeration Date : 07/08/2005
Last Update Date : 07/30/2012

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Directions to “PLAZA HEALTHCARE INC ” Practice Location

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