Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency |
| NPI # | 1386763159 |
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| LBN Legal business name | BELDEN VILLAGE PAIN AND WELLNESS CENTER | ||||
| Authorized official | BRENT UNGAR - (CLINIC DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/29/2007 | ||||
| Last updated | 08/22/2020 - About 6 years ago | ||||
| Identifiers |
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