Organization
SANTA RITA CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL ZIMMERMAN (VICE PRESIDENT OF OPERATIONS)
(520) 625-0178
Entity
Organization
Contact information
Practice address
170 N LA CANADA DR, SUITE 20, GREEN VALLEY, AZ 85614-3141
(520) 352-3049
(520) 625-2871
Mailing address
150 N LA CANADA DR, GREEN VALLEY, AZ 85614-3129
(520) 625-0178
(520) 393-1044
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
OTC5362
AZ
261QR0400X
Rehabilitation Clinic/Center
OTC 5362
AZ
Other
Enumeration date
07/27/2012
Last updated
11/15/2017
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