| NPI | 1720661291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON RAMIREZ Owner 678-889-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 283X00000X Rehabilitation Hospital | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2022-02-15 |