# 21ST CENTURY REHAB, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 21ST CENTURY REHAB, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114963154
- **Legal business name:** 21ST CENTURY REHAB, PC
- **Authorized official:** MICHELLE R CASSABAUM (CFO)
- **Authorized official phone:** (515) 382-3366

## Contact information

- **Practice address:** 1003 8TH ST SW STE D, ALTOONA, IA 50009-2350
- **Practice address phone:** (515) 967-4124
- **Practice address fax:** (515) 967-9094
- **Mailing address:** PO BOX 461, NEVADA, IA 50201-0461
- **Mailing address phone:** (515) 382-3366
- **Mailing address fax:** (515) 382-1576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 11/19/2024