NPI: 1326376369
Provider Name: LIFE CARE CENTERS OF AMERICA, INC.
Doing Business As: LAS FUENTES REHABILITATION CENTER
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
CLIA Number: 03D2194730
Address:
1045 SCOTT DR
PRESCOTT, AZ
ZIP 86301
Phone: (928) 778-9603
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LIFE CARE CENTERS OF AMERICA, INC. is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Prescott, AZ. LIFE CARE CENTERS OF AMERICA, INC. NPI is 1326376369. The provider is registered as an organization entity type.
The provider Is Doing Business As Las Fuentes Rehabilitation Center.
The provider's business location address is:
1045 SCOTT DR
PRESCOTT, AZ
ZIP 86301-731
Phone: (928) 778-9603
Fax: (928) 778-5909
The provider's authorized official is Cindy Cross .
The authorized official title is Assistant Secretary and has the following contact phone number (423) 473-5867.
The CLIA number assigned to this NPI record is 03D2194730 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/3/2009 and was last updated on 9/15/2021.