Organization
INDEPENDENCE REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE LONG (BILLING ADMINISTRATOR)
(801) 471-2449
Entity
Organization
Contact information
Practice address
2620 N 68TH ST, SCOTTSDALE, AZ 85257-1202
(480) 946-6571
Mailing address
5314 NORTH RIVER RUN DRIVE, #140, PROVO, UT 84604
(801) 426-4953
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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