East Texas Rehabilitation, LLC

NPI #1144590027 in Longview, Texas

Provider Information

NPI Number: 1144590027
Entity Type: Organization
Organization Name: East Texas Rehabilitation, LLC
Primary Specialty: Home Health
Enumeration Date: Jan 9, 2012
Last Updated: Jan 9, 2012

Practice Location

Address: 414 E LOOP 281
Address 2: SUITE 5
City: Longview
State: Texas
ZIP Code: 75605-7930
Phone: (903) 960-2515

Authorized Official

Name: MR. ROBER M WHEELER JR.
Title: OWNER/PARTNER
Phone: (903) 757-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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