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Organization
AGILE REHABILITATION SERVICES, LLC
Active
Organization
AGILE REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC NEUFELD CPO (OWNER)
(719) 542-1313
Entity
Organization
Contact information
Practice address
415 N GREENWOOD ST STE E, PUEBLO, CO 81003-3173
(719) 542-1313
(719) 542-9140
Mailing address
415 N GREENWOOD ST STE E, PUEBLO, CO 81003-3173
(719) 542-1313
(719) 542-9140
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20221667860
STATE OF COLORADO COMPANY ID#
CO
Enumeration date
07/11/2022
Last updated
07/11/2022
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