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Organization
TOP CARE REHAB INC
Active
Organization
TOP CARE REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIVETTI BEATRICE OSSOME MS (CEO)
(916) 427-5613
Entity
Organization
Contact information
Practice address
4813 TEGAN RD, ELK GROVE, CA 95758-5149
(916) 427-5613
(916) 427-5641
Mailing address
PO BOX 582138, ELK GROVE, CA 95758-0036
(916) 427-5613
(916) 427-5641
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
080-0004266
CA
261QP2000X
Physical Therapy Clinic/Center
08-00004266
CA
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
08-000042666
CA
314000000X
Skilled Nursing Facility
08-00004266
CA
Other
Enumeration date
07/06/2006
Last updated
12/18/2008
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