Organization
LIFE CARE CENTERS OF AMERICA, INC.
Active
Other names
Las Fuentes Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
1045 SCOTT DR, PRESCOTT, AZ 86301-1731
(928) 778-9603
(928) 778-5909
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
OTC4668
AZ
Other
Enumeration date
12/03/2009
Last updated
09/15/2021
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