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Organization summary

• NPI
  1184105850
• Name
  15810 South 42nd Street Operations LLC
• Account Contact
  Michael Berg
• Address
  15810 S 42ND ST, PHOENIX, AZ, 85048-7409
• Phone
  480-759-0358
• Specialties
  Skilled Nursing Facility
• NPPES Last Updated
  2018-08-22

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