Organization
TANGRAM REHABILITATION NETWORK, INC.
Active
Other names
Hutchison Place South
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
545 W HUTCHISON ST, SAN MARCOS, TX 78666-4411
(800) 866-0860
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101760
VENDOR NUMBER
TX
Enumeration date
05/20/2007
Last updated
05/18/2011
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