# PARKWAY RECOVERY CARE CENTER, LLC

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

## Provider details

- **NPI number:** 1922491505
- **Authorized official:** ERIC BOON (OFFICER /AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 100 N GREEN VALLEY PKWY, SUITE 330, HENDERSON, NV 89074-6391
- **Practice address phone:** (972) 523-7382
- **Practice address fax:** (800) 878-3960
- **Mailing address:** 100 N GREEN VALLEY PKWY, SUITE 330, HENDERSON, NV 89074-6391
- **Mailing address phone:** (972) 523-7382
- **Mailing address fax:** (800) 878-3960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2015
- **Last updated:** 09/13/2024