Organization
MENTOR ABI,LLC D/B/A NEURORESTORATIVE IOWA
Active
Parent organization
MENTOR ABI,LLC D/B/A NEURORESTORATIVE IOWA
Other names
NeuroRestorative Iowa
Organization subpart
Yes
Provider details
NPI number
Legal business name
MENTOR ABI,LLC D/B/A NEURORESTORATIVE IOWA
Authorized official
SERGIO P CRUZ (CFO)
(781) 708-9444
Entity
Organization
Contact information
Practice address
2803 262ND ST, DE WITT, IA 52742-9429
(563) 321-5706
(319) 538-0397
Mailing address
2803 262ND ST, DE WITT, IA 52742-9429
(563) 321-5706
(319) 538-0397
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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