Sierra Blanca Rehabilitation LLC

NPI #1760701221 in Lakeside, Arizona

Provider Information

NPI Number
1760701221
Entity Type
Organization
Organization Name
Sierra Blanca Rehabilitation LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 24, 2010
Last Updated
Feb 2, 2011

Practice Location

Address
3401 N LOCKWOOD DR
State
Arizona
ZIP Code
85929
Phone
(928) 368-2060

Authorized Official

Name
MR. HARVEY F PELOVSKY, NURSING HOME ADMINIS
Title
OWNER
Phone
(928) 978-0520

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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