| NPI | 1285601138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIS I REAL Owner 305-231-8339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2009-05-12 |