| Red Mountain Rehab Groundwork LLC | |
|
15255 N 40th St Ste 149 Phoenix AZ 85032-4683 | |
| (480) 243-5469 | |
| (877) 588-8282 |
| Full Name | Red Mountain Rehab Groundwork LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 15255 N 40th St Ste 149, Phoenix, Arizona |
| Authorized Official Name and Position | Jennifer Allen (CEO) |
| Authorized Official Contact | 4802435469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Mountain Rehab Groundwork LLC 1515 N Gilbert Road D107 Pb415 Gilbert AZ 85234 Ph: (480) 243-5469 | Red Mountain Rehab Groundwork LLC 15255 N 40th St Ste 149 Phoenix AZ 85032-4683 Ph: (480) 243-5469 |
| NPI Number | 1710701438 |
|---|---|
| Provider Enumeration Date | 11/09/2024 |
| Last Update Date | 11/09/2024 |
| Certification Date | 11/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710701438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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