| NPI | 1093579054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WADE Owner 615-720-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-05-01 |