Organization
AT HOME REHAB AND NURSING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD OLVIS MONDANO (PRESIDENT)
(414) 736-6807
Entity
Organization
Contact information
Practice address
3328 OAKLYN DR, EVANSVILLE, IN 47711-7313
(414) 736-6807
Mailing address
3328 OAKLYN DR, EVANSVILLE, IN 47711-7313
(414) 736-6807
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
05007708A
IN
2251G0304X
Geriatric Physical Therapist
Primary
05008118A
IN
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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