Organization
ENLIVEN REHABILITATION SERVICES LLC
Active
Parent organization
ENLIVEN REHABILITATION SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENLIVEN REHABILITATION SERVICES LLC
Authorized official
BRIAN C GOODE (CEO)
(603) 490-9725
Entity
Organization
Contact information
Practice address
2189 SILAS DEANE HWY, ROCKY HILL, CT 06067-2324
(860) 900-0174
Mailing address
2189 SILAS DEANE HWY, ROCKY HILL, CT 06067-2324
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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