Metamorphosis Rehabilitation, Llc

LBN: Metamorphosis Rehabilitation, Llc
Metamorphosis Rehabilitation, Llc is an health care organization with primary practice located at 5170 Sunnyvale Dr , Jackson MS 39211-4845. The organization recently has 6 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Radiology, Ambulatory Health Care Facilities / Rehabilitation. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Metamorphosis Rehabilitation, Llc can be contacted via phone (601) 978-0804, or through Burks, Myna Laquisha via phone (601) 978-0804.

Contact Information

Primary practice address
5170 Sunnyvale Dr Jackson MS 39211-4845
Phone: (601) 978-0804
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burks, Myna Laquisha PH.D.
Phone: (601) 978-0804

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Ambulatory Health Care Facilities / Radiology 261QR0200X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1285478214
LBN Legal business name Metamorphosis Rehabilitation, Llc
DBA Doing business as
Authorized official Burks, Myna Laquisha PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2024
Last updated Jun 24th, 2024 - about last year

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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