Organization
MENTOR ABI, LLC
Active
Other names
NeuroRestorative Iowa
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO P CRUZ (FINANCE DIRECTOR)
(617) 790-4972
Entity
Organization
Contact information
Practice address
2803 262ND ST, DE WITT, IA 52742-9429
(618) 203-6797
Mailing address
PO BOX 2825, CARBONDALE, IL 62902-2825
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
04/01/2019
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