Organization
TANGRAM REHABILITAITON NETWORK, INC.
Active
Other names
Rehab Without Walls Neuro Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MGR PROVIDER ENROLLMENT)
(502) 394-2100
Entity
Organization
Contact information
Practice address
2385 FM 1984, MAXWELL, TX 78656-4344
(800) 866-0860
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
763
—
TX
Enumeration date
05/30/2007
Last updated
04/14/2024
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