NPI | 1245766005 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA DOUTHITT Credentialing & Billing Specialist 913-334-4110 |
Organization Subpart ? | No |
Primary Taxonomy | 283X00000X Rehabilitation Hospital |
Additional Taxonomies | 311Z00000X Custodial Care Facility |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |