NPI | 1417225822 |
---|---|
Doing Business As | HEALTHSTAR PEDIATRIC REHAB |
Entity Type | Organization |
Authorized Contact | STACI LYN CARLSON Owner/Administrator 915-779-7827 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2011-12-13 |
Last Update Date | 2015-08-19 |