Park Waverly Healthcare Llc

LBN: Park Waverly Healthcare Llc
Park Waverly Healthcare Llc is an health care organization with primary practice located at 2001 N Park Ave , Tucson AZ 85719-3558. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), which is considered as the primary health care specialty. Park Waverly Healthcare Llc can be contacted via phone (520) 882-6151, or through Burnam, Soon via phone (949) 540-1249.

Contact Information

Primary practice address
2001 N Park Ave Tucson AZ 85719-3558
Phone: (520) 882-6151
Fax: (520) 620-1547
Website:
Map and Directions
Authorized official contact:
Name: Burnam, Soon
Phone: (949) 540-1249

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Profile Details

NPI number 1003470634
LBN Legal business name Park Waverly Healthcare Llc
DBA Doing business as
Authorized official Burnam, Soon
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2019
Last updated Apr 29th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003470634 NPPES
Arizona Other OTC9390 AZ DEPARTMENT OF HEALTH SERVICES

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