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Organization
AT HOME REHAB AND NURSING SERVICES, INC
Active
Organization
AT HOME REHAB AND NURSING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD OLVIS MONDANO (PRESIDENT)
(414) 736-6807
Entity
Organization
Contact information
Practice address
3328 OAKLYN DR, EVANSVILLE, IN 47711-7313
(414) 736-6807
Mailing address
3328 OAKLYN DR, EVANSVILLE, IN 47711-7313
(414) 736-6807
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
05007708A
IN
2251G0304X
Geriatric Physical Therapist
Primary
05008118A
IN
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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