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Organization
ENLIVEN REHABILITATION SERVICES LLC
Active
Organization
ENLIVEN REHABILITATION SERVICES LLC
Active
Parent organization
ENLIVEN REHABILITATION SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENLIVEN REHABILITATION SERVICES LLC
Authorized official
BRIAN C GOODE (CEO)
(603) 490-9725
Entity
Organization
Contact information
Practice address
2189 SILAS DEANE HWY, ROCKY HILL, CT 06067-2324
(860) 900-0174
Mailing address
2189 SILAS DEANE HWY, ROCKY HILL, CT 06067-2324
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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