Organization
REHABILITATION HOSPITAL, LLC
Active
Parent organization
AHS EAST TEXAS HEALTH SYSTEM LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHS EAST TEXAS HEALTH SYSTEM LLC
Authorized official
STEPHEN C PETROVICH (EVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
701 OLYMPIC PLAZA CIR, TYLER, TX 75701-1950
(903) 596-3000
Mailing address
340 SEVEN SPRINGS WAY STE 100, BRENTWOOD, TN 37027-5697
(615) 296-3000
(615) 296-6227
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
10/01/2023
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