Organization
EASTER SEALS REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REA TECSON (CFO)
(812) 479-1411
Entity
Organization
Contact information
Practice address
3701 BELLEMEADE AVE, EVANSVILLE, IN 47714-0137
(812) 479-1411
(812) 437-2636
Mailing address
3701 BELLEMEADE AVE, EVANSVILLE, IN 47714-0137
(812) 479-1411
(812) 437-2636
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200263500A
—
IN
Enumeration date
12/19/2006
Last updated
01/23/2024
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