IMPACT REHAB LLC

Early Intervention Provider Agency

Code: 252Y00000X

Clinic/Center — Adult Day Care

Code: 261QA0600X

Clinic/Center — Health Service

Code: 261QH0100X

Clinic/Center — Rehabilitation

Code: 261QR0400X

Assisted Living Facility

Code: 310400000X

Home Health

Code: 251E00000X