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Organization
SERC REHABILITATION PARTNERS, LLC
Active
Organization
SERC REHABILITATION PARTNERS, LLC
Active
Other names
SERC
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY RUSSELL (REVENUE CYCLE MANAGER)
(423) 238-7217
Entity
Organization
Contact information
Practice address
14802 SHAMROCK WAY STE C, SMITHVILLE, MO 64089-8381
(816) 873-1100
(816) 399-5796
Mailing address
17134 BEL RAY PL, BELTON, MO 64012-5331
(816) 318-0436
(816) 318-0437
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
261QR0400X
Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
08/14/2013
Last updated
09/05/2013
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