Organization
PREMIER REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH L HAUSMAN (PRESIDENT)
(423) 784-4704
Entity
Organization
Contact information
Practice address
980 LONE RD, PIONEER, TN 37847-4236
(423) 784-4704
(423) 784-1865
Mailing address
PO BOX 541, JELLICO, TN 37762-0541
(423) 784-4704
(423) 784-1865
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
PT0000000900
TN
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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