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General NPI Number Information
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NPI Number | 1700809787
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Entity Type | Organization
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Legal Business Name | CONTINENCE CENTER OF AMERICA INC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 03/29/2019
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Provider Practice Location Address
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Address Line | 13000 N 103RD AVE STE 73
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City | SUN CITY
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State | AZ
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Zip | 85351-3056
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Country | US
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Telephone | 623-977-1212
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Fax | 623-875-1815
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Provider Business Mailing Address
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Address Line | PO BOX 54459
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City | PHOENIX
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State | AZ
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Zip | 85078-4459
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Country | US
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Telephone | 623-977-1212
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Fax | 623-875-1815
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOEL J ROSEN
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Credential |
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Telephone | 623-977-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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