NPI | 1740733377 |
---|---|
Former Legal Business Name | LAS CRUCES COMPREHENSIVE REHABILITATION, INC |
Entity Type | Organization |
Authorized Contact | AVA M BORDE COO 575-522-0484 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2016-08-01 |
Last Update Date | 2017-02-15 |