Organization
SYCAMORE REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK G COCKRUM (CEO)
(317) 745-4715
Entity
Organization
Contact information
Practice address
465 S MAIN ST, SUITE 108, MARTINSVILLE, IN 46151-2162
(317) 745-4715
Mailing address
PO BOX 369, DANVILLE, IN 46122-0369
(317) 745-4715
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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