Organization · Type 2 NPI
ST Peregrine Wound Care LLC
Comprehensive Outpatient Rehabilitation Facility (CORF) · Phoenix, AZ
NPI number
1164862371
Active
Practice location
2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Mailing address
9551 W Country Club Dr
Sun City, AZ 85373-1725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) Primary | 261QR0401X | None listed |
Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...
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About NPI 1164862371
ST Peregrine Wound Care LLC's National Provider Identifier is 1164862371, issued on Jul 2, 2013. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 2, 2013.