Organization
AT HOME REHAB AND NURSING 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
163W00000X
Registered Nurse
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
12/25/2010
Last updated
12/25/2010
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