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Organization

MEDFORDS FAMILY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB MEDFORD (OWNER/ CEO)
(619) 708-1440
Entity
Organization

Contact information

Practice address
1204 E BASELINE RD STE 205, TEMPE, AZ 85283-1453
(619) 708-1440
Mailing address
44276 W NEELY DR, MARICOPA, AZ 85138-9427
(619) 708-1440

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary

Other

Enumeration date
12/18/2021
Last updated
12/18/2021
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