Organization · Type 2 NPI

Archie Hendricks SR Skilled Nursing Facility

Rehabilitation Clinic/Center · Sells, AZ

NPI number 1962810127 Active

Practice location

Federal Route 15 Milepost 9
Sells, AZ 85634-9744

Call (520) 585-5500 Map

Fax (520) 585-5500

Mailing address

HC 1 Box 9100
Sells, AZ 85634-9744

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Clinic/Center Primary	261QR0400X	TRIBAL SERVICE (AZ)

Rehabilitation Clinic/Center: Definition to come...

NPI record

NPI: 1962810127
Entity type: Organization (Type 2)
Issued: Jul 31, 2014
Last updated: Oct 28, 2024
Status: Active
Subpart: Yes of Archie Hendricks SR Skilled Nursing Facility

Other names

<unavail>
Archie Hendricks Outpatient Rehab · doing business as
Archie Hendricks Outpatient Rehab · doing business as

Authorized official

James A Chaston
CFO/business Office Director
(520) 585-5500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962810127

Archie Hendricks SR Skilled Nursing Facility's National Provider Identifier is 1962810127, issued on Jul 31, 2014. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Sells, AZ. The record was last updated on Oct 28, 2024.