Organization
MAIN LINE REHABILITATION ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LEO CARROLL (DIRECTOR OF OPERATIONS)
(610) 280-0180
Entity
Organization
Contact information
Practice address
668 EXTON CMNS, EXTON, PA 19341-2446
(610) 280-0180
(610) 280-0192
Mailing address
668 EXTON CMNS, EXTON, PA 19341-2446
(610) 280-0180
(610) 280-0192
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000009070001
—
PA
Enumeration date
08/12/2008
Last updated
08/12/2008
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