Organization · Type 2 NPI

Impact Wellness Center LLC

Comprehensive Outpatient Rehabilitation Facility (CORF) · Lakeside, AZ

NPI number 1093579054 Active

Practice location

3179 W White Mountain Blvd
Lakeside, AZ 85929-6146

Call (615) 720-8088 Map

Specialties and licenses

TaxonomyCodeLicense
Comprehensive Outpatient Rehabilitation Facility (CORF) Primary 261QR0401XNone listed

Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...

About NPI 1093579054

Impact Wellness Center LLC's National Provider Identifier is 1093579054, issued on Feb 9, 2024. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Lakeside, AZ. The record was last updated on May 1, 2024.