# RELIANT CARE REHABILITATIVE SERVICES L L C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902188287
- **Authorized official:** MR. RICHARD J DESTEFANE (PRESIDENT)
- **Authorized official phone:** (314) 543-3800

## Contact information

- **Practice address:** 2011 CORONA RD, SUITE 301, COLUMBIA, MO 65203-2548
- **Practice address phone:** (314) 543-3860
- **Practice address fax:** (314) 272-0343
- **Mailing address:** 2011 CORONA RD, SUITE 301, COLUMBIA, MO 65203-2548
- **Mailing address phone:** (314) 543-3860
- **Mailing address fax:** (314) 272-0343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2011
- **Last updated:** 03/14/2012