Organization
CARITAS REHAB SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
4420 DIXIE HWY, SUITE 122, LOUISVILLE, KY 40216-2988
(502) 995-5570
(502) 995-8388
Mailing address
4714 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
KY
261QP2000X
Physical Therapy Clinic/Center
—
KY
261QR0400X
Rehabilitation Clinic/Center
Primary
—
KY
Other
Enumeration date
08/02/2005
Last updated
02/19/2018
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