Organization
REHAB CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER LEE MAYS (OTA)
(417) 935-9390
Entity
Organization
Contact information
Practice address
505 W EVERGREEN ST, STRAFFORD, MO 65757-8625
(417) 736-9332
Mailing address
505 W EVERGREEN ST, STRAFFORD, MO 65757-8625
(417) 736-9332
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
224Z00000X
MO
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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