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Organization
LIFE CARE CENTERS OF AMERICA, INC.
Active
Organization
LIFE CARE CENTERS OF AMERICA, INC.
Active
Other names
Las Fuentes Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
1045 SCOTT DR, PRESCOTT, AZ 86301-1731
(928) 778-9603
(928) 778-5909
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
OTC4668
AZ
Other
Enumeration date
12/03/2009
Last updated
09/15/2021
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