| NPI | 1528381571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA SUE DELUCA Owner 560-891-8233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CA 0400551) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA 0400551) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-03-04 |