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NPI Code Detail

MEDICARE: HEARTHSTONE HOSPITAL - SUN CITY, LLC

MEDICARE: HEARTHSTONE HOSPITAL - SUN CITY, LLC
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
1282E00000XLong Term Care HospitalSH4387AZ

General Provider Information

NPI Number : 1518112150
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARTHSTONE HOSPITAL - SUN CITY, LLC
Provider Business Mailing Address
First Line : 4440 N CIVIC CENTER PLZ
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-3513
Country : US
Telephone Number : 480-945-7711
Fax Number : 480-945-8266
Provider Business Practice Location Address
First Line : 13818 N THUNDERBIRD BLVD
Second Line :
City : SUN CITY
State : AZ
Zip : 85351-2574
Country : US
Telephone Number : 623-977-1325
Fax Number : 623-974-3984
Authorized Official
Title or Position : PRESIDENT
Name : MR. GLENN DE SOUZA
Credential :
Telephone Number : 480-945-7711
Provider Enumeration Date : 11/24/2008
Last Update Date : 11/24/2008

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Directions to “HEARTHSTONE HOSPITAL - SUN CITY, LLC ” Practice Location

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