| Organization Name: | LA POSADA AT PARK CENTRE INC |
| NPI Number: | 1104827963 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN WILLIAM KOLNACKI (ADMINISTRATOR) |
| Mailing Address: | 700 S La Posada Cir Green Valley |
| State: | AZ US |
| Postal Code: | 856145100 |
| Phone Number: | 5206488380 |
| Fax Number: | |
| NPI Enumeration Date: | 08/02/2005 |
| NPI Last Update Date: | 02/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0401X |
| License Number: | NCI402 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Taxonomy Definition: | |