| NPI | 1891884250 |
|---|---|
| Former Legal Business Name | ACORF NORTHWEST, LLC |
| Entity Type | Organization |
| Authorized Contact | MARGE GRISHKOFF Managing Member 239-948-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: WA 504506) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-07-15 |