Organization
HOME REHABILITATION AND CONSULTANT SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE A. ROSE MSED, PT (OWNER, PRESIDENT)
(816) 517-6648
Entity
Organization
Contact information
Practice address
902 NW 750TH RD, CENTERVIEW, MO 64019-9128
(816) 230-1590
Mailing address
902 NW 750TH RD, CENTERVIEW, MO 64019-9128
(816) 230-1590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R1367
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28243
BCBS PROVIDER NUMBER
MO
Enumeration date
04/10/2007
Last updated
08/22/2020
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