Restore Functional Restoration, Llc

LBN: Restore Functional Restoration, Llc
Restore Functional Restoration, Llc is an health care organization with primary practice located at 20002 N 19Th Ave # B100 , Phoenix AZ 85027-4250. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Restore Functional Restoration, Llc can be contacted via phone (602) 714-1408, or through Bode, Amy Richter via phone (602) 403-9711.

Contact Information

Primary practice address
20002 N 19Th Ave # B100 Phoenix AZ 85027-4250
Fax: (888) 468-7614
Website:
Authorized official contact:
Name: Bode, Amy Richter

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1952716698
LBN Legal business name Restore Functional Restoration, Llc
DBA Doing business as
Authorized official Bode, Amy Richter
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2014
Last updated Jun 20th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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