Organization
REGGIE WHITE CARDIO-PULMONARY REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NEELY A EASTER (ADMINISTRATOR)
(901) 590-4543
Entity
Organization
Contact information
Practice address
2715 KIRBY RD, SUITE 15, MEMPHIS, TN 38119-8238
(901) 590-4543
(901) 922-5171
Mailing address
2715 KIRBY RD, SUITE 15, MEMPHIS, TN 38119-8238
(901) 590-4543
(901) 922-5171
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
TN
Other
Enumeration date
08/19/2011
Last updated
11/07/2011
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