| NPI | 1164535605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A DINGESS Mgr 615-891-5271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: FL 684811) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2010-02-08 |