OrganizationActive
Life Care Centers of America, Inc.
NPI 1326376369 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Prescott, AZ
Provider details
- NPI number
- 1326376369
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cindy Cross, Assistant Secretary(423) 473-5867
- License
- OTC4668 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1045 Scott Dr
Prescott, AZ 86301-1731
Phone: (928) 778-9603
Fax: (928) 778-5909
Approximate (ZIP-level) locationGet directions
Mailing address
3001 Keith St Nw
Cleveland, TN 37312-3713
Other names (DBA / former)
- Doing business as
- Las Fuentes Rehabilitation Center
Registry dates
- Enumerated
- 2009-12-03
- Last updated
- 2021-09-15
- Certified
- 2021-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.