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NPI Code Detail

MEDICARE: CENTER AT ARROWHEAD, LLC

MEDICARE: CENTER AT ARROWHEAD, 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1881085728
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER AT ARROWHEAD, LLC
Provider Business Mailing Address
First Line : 7201 W CAMINO SAN XAVIER
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-3798
Country : US
Telephone Number : 623-773-6100
Fax Number : 623-773-6150
Provider Business Practice Location Address
First Line : 7201 W. CAMINO SAN XAVIER AVE.
Second Line :
City : GLENDALE
State : AZ
Zip : 85308
Country : US
Telephone Number : 623-773-6100
Fax Number : 623-773-6150
Authorized Official
Title or Position : CHAIRMAN
Name : DR. DAVID OTT
Credential : M.D.
Telephone Number : 602-631-3161
Provider Enumeration Date : 02/13/2015
Last Update Date : 11/08/2017

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Directions to “CENTER AT ARROWHEAD, LLC ” Practice Location

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