Organization
MIDWEST REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ZUBER (ADMINISTRATOR)
(419) 692-3405
Entity
Organization
Contact information
Practice address
1200 S MAIN ST, ADA, OH 45810-2616
(419) 634-8655
(419) 634-0402
Mailing address
485 MOXIE LANE, DELPHOS, OH 45833
(419) 692-3405
(419) 692-3401
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2187315
—
OH
Enumeration date
05/24/2007
Last updated
11/15/2010
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