| NPI | 1922617323 |
|---|---|
| Former Legal Business Name | BLUE DIAMON REHABILITATION CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | ANTONIO LOPEZ Ownwer 305-432-6989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2021-04-19 |