Advantage Pt & Sports Rehab Llc

LBN: Advantage Pt & Sports Rehab Llc
Advantage Pt & Sports Rehab Llc is an health care organization with primary practice located at 4350 67Th Dr , Union Grove WI 53182-9338. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Advantage Pt & Sports Rehab Llc can be contacted via phone (419) 221-6717, or through Kennedy, Calvin D via phone (419) 221-6717.

Contact Information

Primary practice address
4350 67Th Dr Union Grove WI 53182-9338
Fax:
Website:
Authorized official contact:
Name: Kennedy, Calvin D

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1881355527
LBN Legal business name Advantage Pt & Sports Rehab Llc
DBA Doing business as
Authorized official Kennedy, Calvin D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2022
Last updated Jan 5th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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