Organization
PRESCOTT NURSING AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL ZIMMERMAN (SENIOR VICE PRESIDENT)
(520) 352-3019
Entity
Organization
Contact information
Practice address
864 DOUGHERTY ST, PRESCOTT, AZ 86305-1841
(928) 778-9667
(520) 393-1044
Mailing address
150 N LA CANADA DR, GREEN VALLEY, AZ 85614-3129
(520) 352-3018
(520) 393-1044
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-379
AZ
Other
Enumeration date
11/30/2012
Last updated
01/28/2013
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