Organization
IMPACT EDUCATION AND CONSULTING, LLC
Active
Other names
Impact Therapy & Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROLLANDA MOORE PT (DIRECTOR)
(321) 208-3891
Entity
Organization
Contact information
Practice address
6338 SNIDER RD, #104, MASON, OH 45040-5105
(321) 208-3891
Mailing address
6338 SNIDER RD, #104, MASON, OH 45040-5105
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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