Organization
MENTOR ABI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY SMITH (STATE DIRECTOR)
(563) 321-5706
Entity
Organization
Contact information
Practice address
1126 FLORENCE AVE, SIOUX CITY, IA 51109-1017
(515) 330-6353
Mailing address
1126 FLORENCE AVE, SIOUX CITY, IA 51109-1017
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
06/04/2019
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