# SILVER SAGUARO LLC

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

## Provider details

- **NPI number:** 1417710542
- **Authorized official:** AL BERRY (MANAGER)
- **Authorized official phone:** (469) 915-4211

## Contact information

- **Practice address:** 812 VALLEY ST, PRESCOTT, AZ 86305-1826
- **Practice address phone:** (469) 915-4211
- **Mailing address:** 6820 EL DORADO DR, PRESCOTT, AZ 86303-6526
- **Mailing address phone:** (469) 915-4211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2024
- **Last updated:** 02/01/2024