Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency |
| NPI # | 1023430048 |
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| LBN Legal business name | LEILA | ||||
| Authorized official | LEILA ROLLINS - (HEAD) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/09/2014 | ||||
| Last updated | 01/09/2014 - About 12 years ago | ||||
| Identifiers |
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