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Organization

REHAB WITHOUT WALLS, INC.

Active
Other names
RWW Phoenix
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANGIE MATTINGLY (MANAGER-PROVIDER ENROLLMENT)
(502) 630-7147
Entity
Organization

Contact information

Practice address
7500 N DREAMY DRAW DR STE 120, PHOENIX, AZ 85020-4641
(602) 870-7470
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-5186
(502) 394-2100
(502) 394-2285

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility

Other

Enumeration date
11/08/2011
Last updated
11/18/2024
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