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Organization
HEARTLAND REHABILITATION SERVICES OF VIRGINIA, LLC
Active
Organization
HEARTLAND REHABILITATION SERVICES OF VIRGINIA, LLC
Active
Other names
Heartland Rehabilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT)
(419) 252-5541
Entity
Organization
Contact information
Practice address
3425 EXECUTIVE PKWY, SUITE 128, TOLEDO, OH 43606-1326
(419) 537-0764
(419) 537-0948
Mailing address
982 BEN BOLT AVENUE, TAZEWELL, VA 24651-9706
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4978633
—
VA
Enumeration date
01/13/2012
Last updated
01/13/2012
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