Organization
COMPREHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY BRUNSON HORTON EDS, MHA (BILLING MANAGER)
(980) 745-0700
Entity
Organization
Contact information
Practice address
18 NORTH GENERALS BLVD., LINCOLNTON, NC 28092
(704) 748-0616
Mailing address
2675 COURT DR, GASTONIA, NC 28054-1478
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
7796
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407932775
—
NC
Enumeration date
06/10/2016
Last updated
08/30/2018
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