Organization
RWW OUTPATIENT REHAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MGR PROVIDER ENROLLMENT)
(502) 420-2512
Entity
Organization
Contact information
Practice address
3420 WEST RD, TRENTON, MI 48183-2323
(810) 771-7686
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
10/16/2023
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