CITADEL CARE CENTER THERAPY
NPI 1114256369
Clinic/Center - Rehabilitation in Mesa, AZ
- Organization
- Clinic/Center
- Rehabilitation
About CITADEL CARE CENTER THERAPY
This page provides the complete NPI Profile along with additional information for Citadel Care Center Therapy, a provider established in Mesa, Arizona operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1114256369 assigned on December 2009. The practitioner's primary taxonomy code is 261QR0400X with license number OTC1471 (AZ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Citadel Care Center Therapy. The authorized official of this NPI record is Cindy Cross (Assistant Secretary)
- NPI
- 1114256369 Verify this NPI
- Provider Legal Name
- LIFE CARE CENTERS OF AMERICA, INC.
- Other Organization Name
- CITADEL CARE CENTER THERAPY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5121 E BROADWAY RD MESA, AZ 85206
- Location Phone
- (480) 832-5555
- Location Fax
- (480) 924-0090
- Mailing Address
- 3001 KEITH ST NW CLEVELAND, TN 37312
- Mailing Phone
- (423) 473-5751
- Mailing Fax
- (423) 339-8342
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-17-2009
- Last Update Date
- 09-15-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation
- Taxonomy Code
- 261QR0400X
- Type
- Ambulatory Health Care Facilities
- License No.
- OTC1471
- License State
- AZ
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
MESA, AZ 85206
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114256369, enumerated as an "organization" on December 17, 2009.
The provider is located at 5121 E BROADWAY RD MESA, AZ 85206 and the phone number is (480) 832-5555.
Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.
