NPI | 1093203747 |
---|---|
Doing Business As | SLOAN'S LAKE OUTPATIENT SERVICES |
Entity Type | Organization |
Authorized Contact | SOON BURNAM Treasurer 949-448-7950 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2018-04-27 |
Last Update Date | 2018-04-27 |