# 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:** 1407016819
- **Legal business name:** 21ST CENTURY REHAB PC
- **Authorized official:** MICHELLE R CASSABAUM (CFO)
- **Authorized official phone:** (515) 382-3366

## Contact information

- **Practice address:** 209 W 2ND ST, MADRID, IA 50156-1211
- **Practice address phone:** (515) 795-2427
- **Practice address fax:** (515) 795-2482
- **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 | — | IA | Yes |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 02/27/2025