| NPI | 1720166838 |
|---|---|
| Doing Business As | PRODIGY TRANSITIONAL REHAB |
| Entity Type | Organization |
| Authorized Contact | ROBERT VERNON Executive Director 252-823-2041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0327) |
| Additional Taxonomies | 273Y00000X Rehabilitation Unit |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2021-07-14 |