Organization
MENTOR ABI,LLC D/B/A NEURORESTORATIVE IOWA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO P CRUZ (CFO)
(781) 708-9444
Entity
Organization
Contact information
Practice address
2803 262ND ST, DE WITT, IA 52742-9429
(563) 321-5706
Mailing address
2803 262ND ST, DE WITT, IA 52742-9429
(563) 321-5706
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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