| NPI | 1780234997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONA KELLER President 346-230-7250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WH0200X Registered Nurse, Home Health | |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| 163WW0000X Registered Nurse, Wound Care | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |