Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility |
| NPI # | 1386655272 |
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| LBN Legal business name | COMPREHENSIVE REHAB INCORPORATED | ||||||||||||
| Authorized official | BILLIE JO HORNER - (SECRETARY /TREASURER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 08/10/2006 | ||||||||||||
| Last updated | 11/20/2017 - About 9 years ago | ||||||||||||
| Identifiers |
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