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Organization
REHAB MISSOURI, LLC
Active
Organization
REHAB MISSOURI, LLC
Active
Other names
Novacare Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. TARVIN (VICE PRESIDENT AND SECRETARY)
(717) 972-1100
Entity
Organization
Contact information
Practice address
2086 VADALABENE DR., MARYVILLE, IL 62062-5631
(618) 288-7150
(618) 288-7160
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/04/2008
Last updated
11/20/2018
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