| NPI | 1598810061 |
|---|---|
| Doing Business As | NEURORESTORATIVE |
| Entity Type | Organization |
| Authorized Contact | SCOTT SHAW Exec. Director 618-529-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital (Licence: IL 4000021) |
| Additional Taxonomies | 283XC2000X Rehabilitation Hospital, Children |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IL 4000021) | |
| 314000000X Skilled Nursing Facility | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-10-04 |