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NPI Code Detail

MEDICARE: SUNCREST HEALTH CARE INC

MEDICARE: SUNCREST HEALTH CARE 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 Facility

General Provider Information

NPI Number : 1033669643
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNCREST HEALTH CARE INC
Provider Business Mailing Address
First Line : 2211 E SOUTHERN AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85040-3408
Country : US
Telephone Number : 602-305-7134
Fax Number : 866-597-7776
Provider Business Practice Location Address
First Line : 2211 E SOUTHERN AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85040-3408
Country : US
Telephone Number : 602-305-7134
Fax Number : 866-597-7776
Authorized Official
Title or Position : BILLING MANAGER
Name : MS. DEBORAH ANDERSON
Credential :
Telephone Number : 602-305-7134
Provider Enumeration Date : 10/06/2016
Last Update Date : 10/06/2016

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Directions to “SUNCREST HEALTH CARE INC ” Practice Location

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