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Organization
CONSTITUTION ROAD HEALTHCARE, INC.
Active
Organization
CONSTITUTION ROAD HEALTHCARE, INC.
Active
Other names
Julia Temple Outpatient Services
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
3401 S LAFAYETTE ST, ENGLEWOOD, CO 80113-2926
(303) 761-0075
(303) 761-2967
Mailing address
27101 PUERTA REAL STE 450, MISSION VIEJO, CA 92691-8566
(949) 540-1249
(949) 540-1966
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
Other
Enumeration date
09/01/2017
Last updated
03/10/2022
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