# CHIPOLA REHABILITATIVE SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083532253
- **Authorized official:** EMILY TILLMAN MANAGER (MANAGER)
- **Authorized official phone:** (850) 354-0017

## Contact information

- **Practice address:** 2419 FAIRVIEW RD, MARIANNA, FL 32448-2629
- **Practice address phone:** (850) 526-0027
- **Mailing address:** 2419 FAIRVIEW RD, MARIANNA, FL 32448-2629
- **Mailing address phone:** (850) 526-0027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/07/2026
- **Last updated:** 08/20/2026