| NPI | 1508049255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WAYNE MCDANIEL Owner 804-769-7504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: VA S094294-8) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2023-02-22 |