Powerback Rehabilitation LLC
Clinic/Center, Rehabilitation in Merrillville, IN. Organization (NPI-2).
NPI number1043671902
StatusActive
Last updated in NPPESFeb 27, 2023
Details
- NPI
- 1043671902
- Entity type
- Organization (NPI-2)
- Legal business name
- Powerback Rehabilitation LLC
- Organization subpart
- No
- Enumeration date
- Mar 18, 2016
- Certification date
- Feb 27, 2023
- Last updated
- Feb 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
Practice location
7250 Arthur BlvdC/O Towne Centre Retirement Community
Merrillville, IN 46410-3766
Phone 219-649-7445
Mailing address
101 E State StC/O Amy Nunemaker
Kennett Square, PA 19348-3109
Phone 610-925-4560
Authorized official
Carl Anthony Shrom
Ceo
2158960422
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