| NPI | 1326376369 |
|---|---|
| Doing Business As | LAS FUENTES REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | CINDY CROSS Assistant Secretary 423-473-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: AZ OTC4668) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2021-09-15 |