Healthcare Provider Details

I. General information

NPI: 1467989947
Provider Name (Legal Business Name): ENCOMPASS HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 N. CENTRAL
COLORADO CITY AZ
86021
US

IV. Provider business mailing address

PO BOX 790
PAGE AZ
86040-0790
US

V. Phone/Fax

Practice location:
  • Phone: 928-643-7230
  • Fax: 928-643-7988
Mailing address:
  • Phone: 928-645-5113
  • Fax: 928-645-3254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberCSLG8262
License Number StateAZ

VIII. Authorized Official

Name: MRS. MICHELE AXLUND
Title or Position: COO
Credential:
Phone: 928-645-5113