Organization
GRAHAM COUNTY REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANINNE WHITMER (BOARD PRESIDENT)
(928) 428-7968
Entity
Organization
Contact information
Practice address
502 W MAIN ST, SAFFORD, AZ 85546-2727
(928) 428-7968
(928) 428-8766
Mailing address
502 W MAIN ST, POB 807, SAFFORD, AZ 85546-2727
(928) 428-7968
(928) 428-8766
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
CSA01CP0001
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
622961
AHCCCS #
AZ
Enumeration date
02/23/2007
Last updated
08/22/2020
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