# SUMMIT MOBILE REHAB LLC

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

## Provider details

- **NPI number:** 1679047468
- **Authorized official:** DR. EUCHARIA NKECHI ANACHEBE PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (404) 966-3998

## Contact information

- **Practice address:** 200 BRIDGESTONE CV, FAYETTEVILLE, GA 30215-8199
- **Practice address phone:** (404) 966-3998
- **Mailing address:** 200 BRIDGESTONE CV, FAYETTEVILLE, GA 30215-8199
- **Mailing address phone:** (404) 966-3998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/15/2019
- **Last updated:** 01/15/2019