NPI | 1831688035 |
---|---|
Entity Type | Organization |
Authorized Contact | VERNON R PERTELLE President 760-473-0368 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Additional Taxonomies | 227900000X Respiratory Therapist, Registered |
261Q00000X Clinic/Center | |
261QS1200X Clinic/Center Sleep Disorder Diagnostic | |
Enumeration Date | 2018-05-03 |
Last Update Date | 2023-09-24 |