| NPI | 1710767223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEKAAEL MAHMOUD Owner 401-256-9997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 163W00000X Registered Nurse | |
| 164W00000X Licensed Practical Nurse | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |