Organization
4 HORSEMEN REHABILITATIVE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES RICHARDSON JR. (CHIEF EXECUTIVE OFFICER)
(915) 929-1164
Entity
Organization
Contact information
Practice address
1610 VINEBROOK TER NW, KENNESAW, GA 30144-2977
(910) 224-3562
(910) 224-3562
Mailing address
1610 VINEBROOK TER NW, KENNESAW, GA 30144-2977
(910) 224-3562
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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