Fbtc Transitional Sub, LLC

NPI #1255149746 in Rincon, Georgia

Provider Information

NPI Number: 1255149746
Entity Type: Organization
Organization Name: Fbtc Transitional Sub, LLC
Primary Specialty: Clinic/Center - Developmental Disabilities
Enumeration Date: Dec 30, 2024
Last Updated: Dec 30, 2024

Practice Location

Address: 613 TOWNE PARK DR W
City: Rincon
State: Georgia
ZIP Code: 31326-5182
Phone: (800) 388-5150

Authorized Official

Name: MARY PATRICIA RODENBERG-ROBERTS
Title: VP& SR ASST GENERAL COUNSEL
Phone: (952) 836-2234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X	Primary

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