Organization
TANGRAM REHABILIATION 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
618 W HUTCHISON ST, SAN MARCOS, TX 78666-4318
(800) 866-0860
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
635
—
TX
Enumeration date
05/28/2007
Last updated
04/12/2024
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