NPI | 1083738892 |
---|---|
Other Name | PATE REHABILITATION - BCR ANNEX |
Entity Type | Organization |
Authorized Contact | MARGARET SHERRY PEMBERTON Vice President & Manager 502-394-3231 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
261QM2500X Clinic/Center, Medical Specialty | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2023-12-26 |