NPI | 1134755796 |
---|---|
Doing Business As | POWERBACK REHABILITATION LAFAYETTE |
Entity Type | Organization |
Authorized Contact | MICHAEL THEODORE BERG VP Asst Secretary 505-468-4742 |
Organization Subpart ? | Yes |
Primary Taxonomy | 385H00000X Respite Care |
Enumeration Date | 2020-03-16 |
Last Update Date | 2020-03-16 |