Organization
FLAGSTAFF TRANSITIONAL CARE, LLC
Active
Other names
Aspire Transitional Care
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL W. BENSON (AUTHORIZED OFFICIAL)
(952) 361-8000
Entity
Organization
Contact information
Practice address
1521 N PINE CLIFF DR, FLAGSTAFF, AZ 86001-3269
(928) 440-2350
Mailing address
1107 HAZELTINE BOULEVARD, BOX 26, CHASKA, MN 55318
(952) 361-8900
(952) 361-8060
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
07/07/2020
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