Rehab Missouri, Llc.
NPI #1861437261 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1861437261
- Entity Type
- Organization
- Organization Name
- Rehab Missouri, Llc.
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Jun 19, 2006
- Last Updated
- Nov 20, 2018
Practice Location
- Address
- 525 LINCOLN HWY
- Address 2
- SUITE 28 & 29
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-2142
- Phone
- (618) 622-5180
Authorized Official
- Name
- MICHAEL E. TARVIN
- Title
- VICE PRESIDENT AND SECRETARY
- Phone
- (717) 972-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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