# TALL PINES CARE AND REHAB,INC

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

## Provider details

- **NPI number:** 1437398690
- **Authorized official:** MR. WILLIAM SCOTT THOMAS (SYSTEMS ADMINISTRATOR)
- **Authorized official phone:** (801) 296-5106

## Contact information

- **Practice address:** 2401 E HUNT ST, SHOW LOW, AZ 85901-7920
- **Practice address phone:** (928) 537-5333
- **Practice address fax:** (927) 537-1762
- **Mailing address:** 2401 E HUNT ST, SHOW LOW, AZ 85901-7920
- **Mailing address phone:** (928) 537-5333
- **Mailing address fax:** (927) 537-1762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCI-373 | AZ | Yes |

## Other

- **Enumeration date:** 02/11/2009
- **Last updated:** 02/11/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 707458 | — | AZ |