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Contact Information

GOMPERS HABILITATION CENTER
6601 N 27TH AVE
PHOENIX, AZ85017-1219
 Phone: 602-336-0061
 Fax: 602-336-0249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for GOMPERS HABILITATION CENTER

NPI Number 1437518537
LBN Legal business name GOMPERS HABILITATION CENTER
Authorized official TINA JENKINS - (LPN SCHOOL NURSE)
Entity Organization
Organization subpart 1 No
Enumeration date 02/17/2016
Last updated 02/17/2016 - About 10 years ago
Identifiers
AZ License # LP030525
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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