| NPI | 1457898652 |
|---|---|
| Doing Business As | TALLGRASS CREEK OUTPATIENT REHABILITATION AGENCY |
| Entity Type | Organization |
| Authorized Contact | JAMES K WALTER Finance Director 410-402-2315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |