Organization
VERDE VISTA CARE AND REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM SCOTT THOMAS (SYSTEMS ADMINISTRATOR)
(801) 296-5106
Entity
Organization
Contact information
Practice address
15 E HIGHWAY 260, CAMP VERDE, AZ 86322-6864
(928) 567-5253
(928) 567-3794
Mailing address
15 E HIGHWAY 260, CAMP VERDE, AZ 86322-6864
(928) 567-5253
(928) 567-3794
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-366
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
707375
—
AZ
Enumeration date
02/11/2009
Last updated
02/11/2009
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