Organization
REKLAW DIVERSIFIED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WALKER MD (CEO)
(312) 371-0039
Entity
Organization
Contact information
Practice address
120 12TH STREET EXT, PRINCETON, WV 24740-2352
(304) 487-8000
(304) 487-5666
Mailing address
120 12TH STREET EXT, PRINCETON, WV 24740-2352
(304) 487-8000
(304) 487-5666
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
24684
WV
Other
Enumeration date
01/31/2012
Last updated
02/06/2012
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