Organization
ARIZONA REHAB CAMPUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE WILLIAMS (CLAIMS MGR)
(520) 526-1028
Entity
Organization
Contact information
Practice address
6944 E TANQUE VERDE RD, TUCSON, AZ 85715
(844) 272-5608
Mailing address
6944 E TANQUE VERDE RD, TUCSON, AZ 85715-5308
(520) 526-1028
(520) 777-5752
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
IFBH8264
AZ
324500000X
Substance Abuse Rehabilitation Facility
IFBH8264
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251258
—
AZ
Enumeration date
09/06/2016
Last updated
04/04/2019
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