# NEURO REHABCARE OF WATERLOO LLC

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

## Provider details

- **NPI number:** 1477328110
- **Authorized official:** DANTE PATERSON (CFO)
- **Authorized official phone:** (913) 333-1009

## Contact information

- **Practice address:** 33 RACHAEL ST, WATERLOO, IA 50701-5124
- **Practice address phone:** (913) 333-1009
- **Practice address fax:** (913) 257-3574
- **Mailing address:** 13021 W 55TH ST, SHAWNEE, KS 66216-1417
- **Mailing address phone:** (913) 333-1009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/22/2023
- **Last updated:** 11/22/2023