| NPI | 1225379043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGHANNE PAIGE President/Owner 641-814-1141 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: IA 002314) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |