BLUE VASE RECOVERY CENTER LLC NPI 1972981520

NPI Information

NPI: 1972981520
Provider Name: BLUE VASE RECOVERY CENTER LLC
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
1201 E COOLEY ST
SUITE B
SHOW LOW, AZ
ZIP 85901
Phone: (480) 216-5420
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BLUE VASE RECOVERY CENTER LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Show Low, AZ. BLUE VASE RECOVERY CENTER LLC NPI is 1972981520. The provider is registered as an organization entity type.

The provider's business location address is:

1201 E COOLEY ST
SUITE B
SHOW LOW, AZ
ZIP 85901-122
Phone: (480) 216-5420

The provider's authorized official is Brock Bevell .
The authorized official title is Ceo and has the following contact phone number (480) 216-5420.

The enumeration date for this NPI number is 5/15/2015 and was last updated on 1/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	OTC7145	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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