# PRESCOTT VALLEY NURSING & REHABILITATION LLC

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

## Provider details

- **NPI number:** 1417783580
- **Authorized official:** DAVID GARETZ (CFO)
- **Authorized official phone:** (323) 987-5954

## Contact information

- **Practice address:** 3380 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2262
- **Practice address phone:** (928) 775-0045
- **Practice address fax:** (928) 775-2752
- **Mailing address:** 3380 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2262
- **Mailing address phone:** (928) 775-0045
- **Mailing address fax:** (928) 775-2752

## Taxonomy

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

## Other

- **Enumeration date:** 09/13/2024
- **Last updated:** 09/13/2024