NPI | 1083248918 |
---|---|
Entity Type | Organization |
Authorized Contact | VALARIE FLEURIMOND Co Owner 334-558-8579 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2020-02-29 |
Last Update Date | 2020-02-29 |