Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility |
| NPI Number | 1407853716 |
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| LBN Legal business name | MAGNOLIA COMPREHENSIVE OUTPATIENT REHABILIATION FACILITY INC. | ||||
| Authorized official | DEWARRENT BRANTLEY - (CEO/PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/30/2005 | ||||
| Last updated | 08/18/2011 - About 15 years ago | ||||
| Identifiers |
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MAGNOLIA COMPREHENSIVE OUTPATIENT REHABILIATION FACILITY INC.