| NPI | 1073563763 |
|---|---|
| Doing Business As | INNOVATIVE SENIOR CARE AT ROSWELL |
| Entity Type | Organization |
| Authorized Contact | BRYAN RICHARDSON EVP/CAO 615-221-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA 060-03-031-9) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-04-29 |