Organization
FULL RANGE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA RIVERS (QUALITY AND COMPLIANCE MANAGER)
(513) 330-5995
Entity
Organization
Contact information
Practice address
9010 GOLDPARK DR, WEST CHESTER, OH 45011-9764
(513) 330-5995
(800) 819-7985
Mailing address
9010 GOLDPARK DR, WEST CHESTER, OH 45011-9764
(513) 330-5995
(800) 819-7985
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7463860001
—
OH
Enumeration date
12/12/2006
Last updated
07/23/2019
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