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Organization
AMITY FELLOWSERVE INC.
Active
Organization
AMITY FELLOWSERVE INC.
Active
Other names
Palm View Rehabilitation & Care, Palmview Rehabilitation & Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS CLARKE (PRESIDENT)
(540) 265-0322
Entity
Organization
Contact information
Practice address
2222 S AVENUE A, YUMA, AZ 85364-8315
(928) 783-8831
(928) 782-5370
Mailing address
2222 S AVENUE A, YUMA, AZ 85364-8315
(928) 783-8831
(928) 782-5370
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374108
—
AZ
05
—
XLTC00031
—
CA
Enumeration date
01/03/2006
Last updated
09/21/2017
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