Wellsprings Of Phoenix LLC
Skilled Nursing Facility in Phoenix, AZ. Organization (NPI-2).
NPI number1982191490
StatusActive
Last updated in NPPESApr 19, 2018
Details
- NPI
- 1982191490
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellsprings Of Phoenix LLC
- Organization subpart
- No
- Enumeration date
- Apr 19, 2018
- Last updated
- Apr 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Wellsprings Therapy Center Of Phoenix (Doing Business As)
Practice location
3008 N 3rd StPhoenix, AZ 85012-3002
Phone 602-313-6000
Mailing address
5664 Kodiak WayPark City, UT 84098-7767
Phone 435-640-4921
Authorized official
Christopher Cunningham
President
4356404921
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