Healthcare Provider Details

I. General information

NPI: 1043068133
Provider Name (Legal Business Name): SCL COLLEGE OF NURSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7308 W GLASS LN
LAVEEN AZ
85339-7008
US

IV. Provider business mailing address

14209 W VALLEY VIEW DR
LITCHFIELD PARK AZ
85340-5053
US

V. Phone/Fax

Practice location:
  • Phone: 480-215-9056
  • Fax:
Mailing address:
  • Phone: 480-215-9056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. ELANGE NATHAN
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 480-215-9056