Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility |
| NPI # | 1831379486 |
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| LBN Legal business name | SIMBA REHAB, LLC | ||||||||
| Authorized official | SALIM ABDUN - (PT/CHIEF MANAGER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 11/13/2007 | ||||||||
| Last updated | 11/13/2007 - About 19 years ago | ||||||||
| Identifiers |
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