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Contact Information

LIFESTREAM COMPLETE SENIOR LIVING AT NORTHEAST PHOENIX, INC.
20802 N. CAVE CREEK ROAD
BUILDING 84
PHOENIX, AZ85024
 Phone: 602-569-0508
 Fax: 602-569-0301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for LIFESTREAM COMPLETE SENIOR LIVING AT NORTHEAST PHOENIX, INC.

NPI Number 1144763731
LBN Legal business name LIFESTREAM COMPLETE SENIOR LIVING AT NORTHEAST PHOENIX, INC.
Authorized official DONNA TAYLOR - (EXECUTIVE VICE PRESIDENT/COO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2016
Last updated 11/30/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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