Blue Vase Recovery Center Llc

LBN: Blue Vase Recovery Center Llc
Blue Vase Recovery Center Llc is an health care organization with primary practice located at 1201 E Cooley St Suite B, Show Low AZ 85901-5122. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), which is considered as the primary health care specialty. Blue Vase Recovery Center Llc can be contacted via phone (480) 216-5420, or through Bevell, Brock via phone (480) 216-5420.

Contact Information

Primary practice address
1201 E Cooley St Suite B Show Low AZ 85901-5122
Phone: (480) 216-5420
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bevell, Brock
Phone: (480) 216-5420

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X OTC7145 Arizona

Profile Details

NPI number 1972981520
LBN Legal business name Blue Vase Recovery Center Llc
DBA Doing business as
Authorized official Bevell, Brock
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2015
Last updated Jan 11th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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