Jagged Rock Rehab Travelers
LBN: Jagged Rock Rehab Travelers
Jagged Rock Rehab Travelers is an health care organization with primary practice located at 10667 S Avenue 10 E # 46 , Yuma AZ 85365-7008. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty.
Jagged Rock Rehab Travelers can be contacted via phone (605) 430-9361, or through Shumbopoissant, Monika via phone (605) 430-9361.
Contact Information
Primary practice address
10667 S Avenue 10 E # 46
Yuma AZ 85365-7008
Phone: (605) 430-9361
Fax:
Website:
Authorized official contact:
Name: Shumbopoissant, Monika Registered Occupational Therapist (OTR)
Phone: (605) 430-9361
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Early Intervention Provider Agency | 252Y00000X | DDD704011 | Arizona |
Profile Details
| NPI number | 1700010154 |
|---|---|
| LBN Legal business name | Jagged Rock Rehab Travelers |
| DBA Doing business as | |
| Authorized official | Shumbopoissant, Monika Registered Occupational Therapist (OTR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 13th, 2009 |
| Last updated | May 13th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700010154 | NPPES |
| Arizona | Other | 3025 | ARIZONA DEPARTMENT OF ECONOMIC SECURITY DIVISION OF DEVELOPMENTAL DISABILITIES |
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