OrganizationActive
Blue Vase Recovery Center LLC
NPI 1972981520 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Show Low, AZ
Provider details
- NPI number
- 1972981520
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brock Bevell, Ceo(480) 216-5420
- License
- OTC7145 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1201 E Cooley St
Suite B
Show Low, AZ 85901-5122
Phone: (480) 216-5420
Approximate (ZIP-level) locationGet directions
Mailing address
1201 E Cooley St
Show Low, AZ 85901-5122
Registry dates
- Enumerated
- 2015-05-15
- Last updated
- 2017-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.