Organization
NOVACARE OUTPATIENT REHABILIATION EAST INC
Active
Other names
NovaCare Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 975-4503
Entity
Organization
Contact information
Practice address
8290 UNIVERSITY AVE NE, SUITE 300, FRIDLEY, MN 55432-1847
(717) 975-4503
Mailing address
4716 OLD GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 975-4503
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1226970004
DME SUPPLIER NUMBER
MN
Enumeration date
07/27/2007
Last updated
03/12/2008
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