Organization
VILLAGE COMPREHENSIVE THERAPY EAST GATE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SANCHEZ (CFO)
(704) 824-7800
Entity
Organization
Contact information
Practice address
25255 HIGHWAY 5 STE N, LONSDALE, AR 72087-9102
(501) 922-9911
(501) 922-9930
Mailing address
2675 COURT DR, GASTONIA, NC 28054-1478
(704) 824-7800
(704) 824-7898
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
AR
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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