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NPI Code Detail

MEDICARE: AZ REHAB LLC

MEDICARE: AZ REHAB LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1841142767
Entity Type Code : Organization
Provider Name (Legal Business Name) : AZ REHAB LLC
Provider Business Mailing Address
First Line : 5500 W CHANDLER BLVD STE 1
Second Line :
City : CHANDLER
State : AZ
Zip : 85226-3688
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 642 W LINGER LN
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-7264
Country : US
Telephone Number : 612-505-5494
Fax Number :
Authorized Official
Title or Position : CEO
Name : WADE MUHLHAUSER
Credential :
Telephone Number : 612-505-5494
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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Directions to “AZ REHAB LLC ” Practice Location

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