- Enrollment id
- O20110628000116
- Enrollment state
- AZ
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1376834580
- Multiple npi flag
- N
- Ccn
- 035283
- Associate id
- 9032397773
- Organization name
- SANTE CHANDLER LLC
- Doing business as name
- SANTE OF CHANDLER
- Incorporation date
- 2008-11-26
- Incorporation state
- AZ
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- SANTE OF CHANDLER
- Affiliation entity name
- SANTE
- Affiliation entity id
- 466
- Address line 1
- 825 S 94TH ST
- City
- CHANDLER
- State
- AZ
- Zip code
- 852246281