| 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 |