Whiteriver Service Unit - Ihs

NPI 1053685412 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1053685412
Enumeration Date 03/02/2012
Last Updated 03/02/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MICHELLE MICHELLE
Position CEO
Phone (928) 338-4911
Fax
Practice Location
200 WEST HOSPITAL DR
WHITERIVER AZ, 85941, US
Phone (928) 338-4911
Fax
Business Location
PO BOX 927
WHITERIVER AZ, 85941-0927, US
Phone (928) 338-4911
Fax
Toxanomy
Taxonomy Code 313M00000X
License State Texas
License Number 643341
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According to our database, Whiteriver Service Unit - Ihs NPI is 1053685412, taxonomy code is 313M00000X and license number is 643341, license state is located at Texas. Whiteriver Service Unit - Ihs physically located at 200 West Hospital Dr, Whiteriver AZ, 85941. NPI Number 1033115704 has the healthcare provider type.

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1053685412 NPI number is provided on an as is basis without warranty of any kind. 1053685412 is maintained by the National Plan & Provider Enumeration System. The contents of Whiteriver Service Unit - Ihs are for informational purposes only.