# NEURO REHABCARE OF THE VALLEY - AZ LLC

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

## Provider details

- **NPI number:** 1770009219
- **Authorized official:** DANTE PATERSON (CONTROLLER)
- **Authorized official phone:** (913) 961-6838

## Contact information

- **Practice address:** 8307 W MISTY WILLOW LN, PEORIA, AZ 85383-1511
- **Practice address phone:** (623) 745-0910
- **Practice address fax:** (623) 745-0867
- **Mailing address:** 10800 FARLEY ST STE 265, OVERLAND PARK, KS 66210-1693
- **Mailing address phone:** (913) 961-6838
- **Mailing address fax:** (913) 345-1920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/16/2017
- **Last updated:** 10/24/2018