Organization
ABILITY REHAB, LLC
Active
Other names
Ability Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRASANT H DESAI MBA, MPH (ADMINISTRATOR)
(678) 298-9484
Entity
Organization
Contact information
Practice address
1835 SAVOY DR., SUITE 100, ATLANTA, GA 30341-1072
(678) 298-9484
(678) 826-4033
Mailing address
1835 SAVOY DR., SUITE 100, ATLANTA, GA 30341-1072
(678) 298-9484
(678) 826-4033
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OPPT000791
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003111721A
—
GA
01
—
202G709590
MEDICARE PTAN
GA
01
—
704857
WELLCARE
GA
Enumeration date
07/04/2010
Last updated
03/08/2013
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