NPI | 1851856983 |
---|---|
Doing Business As | RESTORE 3:16,LLC |
Entity Type | Organization |
Authorized Contact | DELFANITA ELLEN WARREN CEO 708-316-1630 |
Organization Subpart ? | No |
Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
Enumeration Date | 2019-02-02 |
Last Update Date | 2019-02-02 |