Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility |
| NPI # | 1740708429 |
| LBN Legal business name | CONSTITUTION ROAD HEALTHCARE, INC. |
| Authorized official | SOON BURNAM - (TREASURER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/01/2017 |
| Last updated | 03/10/2022 - About 4 years ago |
| Identifiers | n/a |
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