Organization Name: | SUPPLEMENTAL HEALTH CARE |
NPI Number: | 1336462399 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMI P PATEL (PHYSICAL THERAPIST) |
Mailing Address: | 4202 Old Oak Dr Ne Cedar Rapids |
State: | IA US |
Postal Code: | 524116772 |
Phone Number: | 9174956661 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2010 |
NPI Last Update Date: | 03/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |