# DEVON GABLES REHABILITATION CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336415066
- **Authorized official:** MR. WILLIAM ROTHNER (OWNER)
- **Authorized official phone:** (847) 905-4000

## Contact information

- **Practice address:** 6150 E GRANT RD, TUCSON, AZ 85712-5801
- **Practice address phone:** (520) 296-6181
- **Mailing address:** 2201 MAIN ST, EVANSTON, IL 60202-1519
- **Mailing address phone:** (847) 905-4000
- **Mailing address fax:** (847) 905-4040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | AZ | Yes |

## Other

- **Enumeration date:** 03/27/2012
- **Last updated:** 01/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 748491 | — | AZ |