Organization
EMPOWERME REHABILITATION MISSOURI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID CHURCH (VICE PRESIDENT OF FINANCE)
(618) 972-5228
Entity
Organization
Contact information
Practice address
842 LYNN ST, LEBANON, MO 65536-3832
(844) 502-7996
Mailing address
PO BOX 736005, DALLAS, TX 75373-6005
(844) 502-7996
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
12/16/2023
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