Organization
NEURO REHABCARE OF WATERLOO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANTE PATERSON (CONTROLLER)
(913) 961-6838
Entity
Organization
Contact information
Practice address
35 RACHAEL ST, WATERLOO, IA 50701-5124
(319) 462-7990
(319) 462-7999
Mailing address
10800 FARLEY ST STE 265, OVERLAND PARK, KS 66210-1693
(913) 345-9300
(913) 345-1920
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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