Organization
REHABILITATION CENTERS OF CHARLESTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER)
(630) 296-2222
Entity
Organization
Contact information
Practice address
586 LONE TREE DR, MT PLEASANT, SC 29464-8170
(843) 884-7880
(843) 884-6635
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1753
—
SC
Enumeration date
08/01/2006
Last updated
11/04/2016
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