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Organization
VILLAGE COMPREHENSIVE THERAPY EAST GATE LLC
Active
Organization
VILLAGE COMPREHENSIVE THERAPY EAST GATE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SANCHEZ (CFO)
(704) 824-7800
Entity
Organization
Contact information
Practice address
25255 HIGHWAY 5 STE N, LONSDALE, AR 72087-9102
(501) 922-9911
(501) 922-9930
Mailing address
2675 COURT DR, GASTONIA, NC 28054-1478
(704) 824-7800
(704) 824-7898
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
AR
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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