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Contact Information

ACTIVE LIFE HEALTH OF SUN CITY PLLC
10503 W THUNDERBIRD BLVD STE 302
SUN CITY, AZ85351-3022
 Phone: 623-444-2545
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ACTIVE LIFE HEALTH OF SUN CITY PLLC

NPI # 1780359695
LBN Legal business name ACTIVE LIFE HEALTH OF SUN CITY PLLC
Authorized official JOHN RUSH - (CHAIRMAN & CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2021
Last updated 12/21/2021 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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