# VALLEY OF SUN REBIRTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VALLEY OF SUN REBIRTH CARE LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205613486
- **Authorized official:** JUSTIN WILLIAMS (OWNER)
- **Authorized official phone:** (602) 320-4589

## Contact information

- **Practice address:** 9010 S PRIEST DR APT 3104, TEMPE, AZ 85284-1176
- **Practice address phone:** (602) 320-4589
- **Mailing address:** 9010 S PRIEST DR APT 3104, TEMPE, AZ 85284-1176
- **Mailing address phone:** (602) 320-4589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 09/12/2023
- **Last updated:** 09/12/2023