Sequelcare Of Arizona, Llc Dba Smoki Trail

LBN: Brighter Heights Arizona, Llc Dba Smoki Trail
Sequelcare Of Arizona, Llc Dba Smoki Trail is an health care organization with primary practice located at 9435 E Smoki Trail , Dewey AZ 86327-6990. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Brighter Heights Arizona, Llc Dba Smoki Trail can be contacted via phone (928) 632-5806, or through Wilson, Brooke via phone (928) 910-7644.

Contact Information

Primary practice address
9435 E Smoki Trail Dewey AZ 86327-6990
Phone: (928) 632-5806
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Brooke
Phone: (928) 910-7644

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X BH-2163 Arizona

Profile Details

NPI number 1588740930
LBN Legal business name Brighter Heights Arizona, Llc Dba Smoki Trail
DBA Doing business as Sequelcare Of Arizona, Llc Dba Smoki Trail
Authorized official Wilson, Brooke
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 28th, 2006
Last updated Jul 6th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588740930 NPPES
Arizona MEDICAID 717407
Arizona Other 717407

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