Organization
NEURO REHABCARE OF THE VALLEY - AZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANTE PATERSON (CONTROLLER)
(913) 961-6838
Entity
Organization
Contact information
Practice address
8307 W MISTY WILLOW LN, PEORIA, AZ 85383-1511
(623) 745-0910
(623) 745-0867
Mailing address
10800 FARLEY ST STE 265, OVERLAND PARK, KS 66210-1693
(913) 961-6838
(913) 345-1920
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
10/24/2018
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