Organization Name: | THOMAS ASSOCIATES FOUNDATION, INC |
NPI Number: | 1588818595 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDWIN RICHARD BUTLER (EXECUTIVE V.P.) |
Mailing Address: | 825 N Hammonds Ferry Rd Suite A Linthicum |
State: | MD US |
Postal Code: | 210901355 |
Phone Number: | 4107892635 |
Fax Number: | 4107892767 |
NPI Enumeration Date: | 11/05/2008 |
NPI Last Update Date: | 11/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | 4049 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |