| NPI | 1598323099 |
|---|---|
| Doing Business As | POWERBACK REHABILITATION PISCATAWAY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL THEODORE BERG Authorized Official 505-468-4742 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |