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Organization
PHOENIX REHABILITATION AND HEALTH SERVICES, INC.
Active
Organization
PHOENIX REHABILITATION AND HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL MARIE STAMPER (VP OF PAYOR RELATIONS)
(205) 999-7371
Entity
Organization
Contact information
Practice address
430 INNOVATION DRIVE, BLAIRSVILLE, PA 15717-8096
(724) 343-4060
(724) 343-4069
Mailing address
430 INNOVATION DRIVE, BLAIRSVILLE, PA 15717-8096
(724) 343-4060
(724) 343-4069
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1614133
HIGHMARK BLUE SHIELD ST
PA
01
—
2300215000
INDEPENDENCE BLUE CR. ST
PA
Enumeration date
09/26/2006
Last updated
05/15/2020
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