Organization
SAGUARO REHABILITATION AND AQUATIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAIRE LANSING MSW (OWNER)
(480) 982-7794
Entity
Organization
Contact information
Practice address
305 N PLAZA DR, APACHE JUNCTION, AZ 85220-5505
(480) 982-7794
(480) 982-0747
Mailing address
305 N PLAZA DR, APACHE JUNCTION, AZ 85120-5505
(480) 982-7794
(480) 982-0747
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366641219
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
07/12/2007
Last updated
04/01/2010
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