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Organization
TALL PINES CARE AND REHAB,INC
Active
Organization
TALL PINES CARE AND REHAB,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM SCOTT THOMAS (SYSTEMS ADMINISTRATOR)
(801) 296-5106
Entity
Organization
Contact information
Practice address
2401 E HUNT ST, SHOW LOW, AZ 85901-7920
(928) 537-5333
(927) 537-1762
Mailing address
2401 E HUNT ST, SHOW LOW, AZ 85901-7920
(928) 537-5333
(927) 537-1762
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-373
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
707458
—
AZ
Enumeration date
02/11/2009
Last updated
02/11/2009
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