# INDEPENDENCE REHAB

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1790150100
- **Authorized official:** JULIE LONG (BILLING ADMINISTRATOR)
- **Authorized official phone:** (801) 471-2449

## Contact information

- **Practice address:** 2620 N 68TH ST, SCOTTSDALE, AZ 85257-1202
- **Practice address phone:** (480) 946-6571
- **Mailing address:** 5314 NORTH RIVER RUN DRIVE, \#140, PROVO, UT 84604
- **Mailing address phone:** (801) 426-4953

## Taxonomy

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

## Other

- **Enumeration date:** 12/10/2015
- **Last updated:** 12/10/2015