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 Number | 1871867325 |
| LBN Legal business name | PARAGON OUTPATIENT REHABILITATION SERVICES, LLC |
| Authorized official | CRISTINA PIETROWSKI - (CHIEF LEGAL OFFICER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 03/01/2012 |
| Last updated | 07/27/2022 - About 4 years ago |
| Identifiers | n/a |
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