# HEARTLAND REHABILITATION SERVICES OF VIRGINIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heartland Rehabilitation Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497026017
- **Authorized official:** MR. BARRY A LAZARUS (VICE PRESIDENT)
- **Authorized official phone:** (419) 252-5541

## Contact information

- **Practice address:** 3425 EXECUTIVE PKWY, SUITE 128, TOLEDO, OH 43606-1326
- **Practice address phone:** (419) 537-0764
- **Practice address fax:** (419) 537-0948
- **Mailing address:** 982 BEN BOLT AVENUE, TAZEWELL, VA 24651-9706

## Taxonomy

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

## Other

- **Enumeration date:** 01/13/2012
- **Last updated:** 01/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4978633 | — | VA |