Organization
ROCK RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. JEFFREY JAY HOSTETLER RN,BSN, (PRACTICE MANAGER)
(623) 734-7605
Entity
Organization
Contact information
Practice address
13223 W ASHWOOD DR, SUN CITY WEST, AZ 85375-4510
(623) 301-2404
(623) 462-2525
Mailing address
13223 W ASHWOOD DR, SUN CITY WEST, AZ 85375-4510
(623) 734-7605
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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