Organization
MOC PHOENIX, LLC
Active
Parent organization
MOC PHOENIX, LLC
Other names
Rapid Recovery From Mainstreet Health, Rapid Recovery by Mainstreet Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOC PHOENIX, LLC
Authorized official
PAUL EZEKIEL TURNER (CEO)
(317) 582-6200
Entity
Organization
Contact information
Practice address
3000 N. 91ST AVENUE, PHOENIX, AZ 85037
(317) 689-2157
(317) 689-2157
Mailing address
14390 CLAY TERRACE BLVD STE 205, CARMEL, IN 46032-3669
(317) 582-6961
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/14/2017
Last updated
07/21/2022
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