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Organization

NRH-CPT REGIONAL REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK ZUNIGA (DIRECTOR PFS)
(240) 965-3519
Entity
Organization

Contact information

Practice address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
(301) 373-2588
Mailing address
102 IRVING ST NW, WASHINGTON, DC 20010-2921

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
284100
MAMSI ST MARY
MD
01
284471
MAMSI WALDORF
MD
01
3417
BLUE SHIELD
DC
01
LY31
BLUESHIELD
MD
Enumeration date
05/31/2005
Last updated
12/08/2011
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