| NPI | 1124601224 |
|---|---|
| Doing Business As | PROMEDICA TOTAL REHAB (LAFAYETTE) |
| Entity Type | Organization |
| Authorized Contact | MARTIN ALLEN Director 419-252-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2023-02-09 |