Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility |
| NPI Number | 1518076629 |
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| LBN Legal business name | PELICAN HEALTHCARE INC | ||||||||
| Authorized official | LETHA HAYNES - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 08/30/2006 | ||||||||
| Last updated | 04/21/2023 - About 3 years ago | ||||||||
| Identifiers |
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