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Organization
PRESCOTT NURSING AND REHABILITATION CENTER LLC
Active
Organization
PRESCOTT NURSING AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL ZIMMERMAN (SENIOR VICE PRESIDENT)
(520) 352-3019
Entity
Organization
Contact information
Practice address
864 DOUGHERTY ST, PRESCOTT, AZ 86305-1841
(928) 778-9667
(520) 393-1044
Mailing address
150 N LA CANADA DR, GREEN VALLEY, AZ 85614-3129
(520) 352-3018
(520) 393-1044
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-379
AZ
Other
Enumeration date
11/30/2012
Last updated
01/28/2013
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