Organization
NAZCARE, INC POWER RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA LYNNE HOWARD MA, LCS, BHT (CHIEF EXECUTIVE OFFICER)
(928) 442-9205
Entity
Organization
Contact information
Practice address
367 N MAIN ST, EAGAR, AZ 85925-9675
(928) 333-4990
(928) 649-9394
Mailing address
599 WHITE SPAR RD, PRESCOTT, AZ 86303-4627
(928) 442-9205
(928) 442-3144
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
CSA03NA0148
AZ
Other
Enumeration date
11/22/2011
Last updated
05/16/2013
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