# REHAB MISSOURI, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novacare Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861437261
- **Authorized official:** MICHAEL E. TARVIN (VICE PRESIDENT AND SECRETARY)
- **Authorized official phone:** (717) 972-1100

## Contact information

- **Practice address:** 525 LINCOLN HWY, SUITE 28 & 29, FAIRVIEW HEIGHTS, IL 62208-2142
- **Practice address phone:** (618) 622-5180
- **Practice address fax:** (618) 622-5169
- **Mailing address:** 4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
- **Mailing address phone:** (717) 972-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 11/20/2018