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Organization
RWW HOME AND COMMUNITY REHAB SERVICES, INC.
Active
Organization
RWW HOME AND COMMUNITY REHAB SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (PROVIDER ENROLLMENT MANAGER)
(502) 630-7425
Entity
Organization
Contact information
Practice address
2655 VILA CREEK DRIVE, SUITE 111, DALLAS, TX 75234
(972) 573-3340
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 630-7425
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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