Organization
RED ROCK WELLNESS CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD ROUSSEAU (CHIEF ADMINISTRATIVE OFFICER)
(772) 266-7682
Entity
Organization
Contact information
Practice address
13951 W MEEKER BLVD, ROOM 1, SUN CITY WEST, AZ 85375-4424
(602) 833-8452
(480) 718-8839
Mailing address
PO BOX 29650, DEPT# 880122, PHOENIX, AZ 85038-9650
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
08/09/2018
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