# RWW SENIOR LIVING OUTPATIENT REHAB SERVICES, LLC

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

## Provider details

- **NPI number:** 1659182889
- **Authorized official:** DENISHA CONNOR (PROVIDER ENROLLMENT MANAGER)
- **Authorized official phone:** (502) 630-7421

## Contact information

- **Practice address:** 448 LAKESHORE PKWY STE 215, ROCK HILL, SC 29730-4264
- **Practice address phone:** (803) 223-9499
- **Practice address fax:** (866) 849-2728
- **Mailing address:** 805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
- **Mailing address phone:** (800) 866-0860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2025
- **Last updated:** 01/16/2025