| NPI | 1174601447 |
|---|---|
| Doing Business As | OUTPATIENT REHABILITATION AGENCY AT EAGLE'S TRACE |
| Entity Type | Organization |
| Authorized Contact | JAMES K WALTER Finance Director 410-402-2315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: TX 660930000) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2014-06-20 |