NPI 1003082975

Eldercare for Life

Organisation Rehabilitation Clinic/Center Hereford, AZ

Practice location

Address: 6164 S Highway 92, Hereford, AZ 85615-9283
Phone: (520) 803-1234
Fax: (520) 803-6552
Mailing address: PO Box 429, Hereford, AZ 85615-0429

Authorised official

Name: Monica Vandivort
Title: President
Phone: (520) 803-1234

Registered specialties

Rehabilitation Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0400X

Other Clinic/Center providers in Arizona →

Registry record

NPI: 1003082975
Entity type: Organization
NPI issued: 1 May 2008
Record last updated: 16 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.