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Organization
GH MAP INC
Active
Organization
GH MAP INC
Active
Other names
Life Line Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN CHANG (OFFICE ADMINISTRATOR)
(661) 637-1111
Entity
Organization
Contact information
Practice address
1902 B ST, STE B, BAKERSFIELD, CA 93301-3526
(661) 637-1111
(661) 637-1112
Mailing address
1902 B ST, SUITE B G H MAP INC DBA LIFE LINE THERAPY, BAKERSFIELD, CA 93301
(661) 637-1111
(661) 637-1112
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
120000665
CA
Other
Enumeration date
07/26/2006
Last updated
10/07/2008
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