National Provider Identifier Database

VILLAGE COMPREHENSIVE THERAPY EAST GATE LLC
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)


Contact Information

VILLAGE COMPREHENSIVE THERAPY EAST GATE LLC
25255 HIGHWAY 5 STE N
LONSDALE, AR72087-9102
Phone: 501-922-9911
Fax: 501-922-9930
Website:
Specialty Taxonomy Code
* Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for VILLAGE COMPREHENSIVE THERAPY EAST GATE LLC

NPI Number 1093078552
Legal business name
LBN
VILLAGE COMPREHENSIVE THERAPY EAST GATE LLC
Authorized official JOHN SANCHEZ - (CFO)
Entity Organization
Organization subpart No
Enumeration date 06/20/2012
Last updated 06/20/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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