Lifespan Rehabilitation, LLC
Residential Treatment Facility, Physical Disabilities in Vero Beach, FL. Organization (NPI-2).
NPI number1578884490
StatusActive
Last updated in NPPESJun 15, 2010
Details
- NPI
- 1578884490
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifespan Rehabilitation, LLC
- Organization subpart
- No
- Enumeration date
- Jun 15, 2010
- Last updated
- Jun 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320700000X | Residential Treatment Facility, Physical Disabilities | – | – | Yes |
Practice location
5083 4th LnVero Beach, FL 32968-1865
Phone 772-643-2939
Mailing address
5083 4th LnVero Beach, FL 32968-1865
Authorized official
Timothy Richards
Manager/Occupational Therapist
7726432939
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