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Organization
MILLENNIUM REHAB, INC.
Active
Organization
MILLENNIUM REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN JAMES (DIRECTOR OF OPERATIONS)
(870) 931-6789
Entity
Organization
Contact information
Practice address
810 JOE BROOKS DR, JONESBORO, AR 72401-4133
(870) 931-6789
(870) 931-4363
Mailing address
PO BOX 540, JONESBORO, AR 72403-0540
(870) 931-6789
(870) 931-4363
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C243
BCBS GROUP PROV #
AR
Enumeration date
06/21/2005
Last updated
09/11/2025
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