Organization
MILLENNIUM REHAB & CONSULTING, INC.
Active
Other names
Millennium Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROB F HENTZEN (CEO)
(515) 331-3190
Entity
Organization
Contact information
Practice address
5260 NORTHWEST BLVD, SUITE 2, DAVENPORT, IA 52806-2463
(563) 445-2400
(563) 445-2404
Mailing address
4725 MERLE HAY RD, SUITE 107, DES MOINES, IA 50322-1983
(515) 331-3190
(515) 331-3191
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665802
—
IA
Enumeration date
07/22/2009
Last updated
08/19/2009
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