| NPI | 1427230739 |
|---|---|
| Doing Business As | POWERBACK REHABILITATION 1526 LOMBARD STREET |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T BERG Assistant Secretary 505-468-4742 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 200402) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2021-05-03 |