Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency |
| NPI # | 1588405641 |
| LBN Legal business name | EMPOWERED HEALTH AND WELLNESS |
| Authorized official | ROYCE PORTER - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/03/2024 |
| Last updated | 06/03/2024 - About 2 years ago |
| Identifiers | n/a |
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