=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932348455
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SALUS SOLUTIONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/05/2009
-----------------------------------------------------
Last Update Date | 02/05/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 215 MARKET ST #M203
-----------------------------------------------------
City | GALVESTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77550-5797
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 442-471-8856
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 215 MARKET ST #M203
-----------------------------------------------------
City | GALVESTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77550-5797
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 254-386-1700
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICAL THERAPIST
-----------------------------------------------------
Name | MISS JANAKI M MURUGESAN IV
-----------------------------------------------------
Credential | MPT
-----------------------------------------------------
Telephone | 409-772-1913
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 322D00000X
-----------------------------------------------------
Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
-----------------------------------------------------
License Number | 2439
-----------------------------------------------------
License Number State | ZZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 320700000X
-----------------------------------------------------
Taxonomy Name | Physical Disabilities Residential Treatment Facility
-----------------------------------------------------
License Number | 1081636
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------