Sfc Shane
NPI #1508228701 in Apache Junction, Arizona
Provider Information
- NPI Number
- 1508228701
- Entity Type
- Organization
- Organization Name
- Sfc Shane
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Mar 25, 2016
- Last Updated
- Mar 25, 2016
Practice Location
- Address
- 460 E OSAGE AVE
- Address 2
- 1
- City
- Apache Junction
- State
- Arizona
- ZIP Code
- 85119-3748
- Phone
- (480) 862-5741
Authorized Official
- Name
- SHANE M ELSON, OWNER
- Title
- LONG TERM CARE PROVIDER
- Phone
- (480) 862-5741
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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