Organization · Type 2 NPI
Village Comprehensive Therapy East Gate LLC
Comprehensive Outpatient Rehabilitation Facility (CORF) · Lonsdale, AR
NPI number
1093078552
Active
Practice location
25255 Highway 5 Ste N
Lonsdale, AR 72087-9102
Fax (501) 922-9930
Mailing address
2675 Court Dr
Gastonia, NC 28054-1478
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) Primary | 261QR0401X | None listed |
Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...
Another provider at this address
About NPI 1093078552
Village Comprehensive Therapy East Gate LLC's National Provider Identifier is 1093078552, issued on Jun 20, 2012. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Lonsdale, AR. The record was last updated on Jun 20, 2012.