Organization
ST GEORGE REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M ELGENDI RPT (SOLE MBR)
(219) 365-4561
Entity
Organization
Contact information
Practice address
11628 VENTURA DR, SAINT JOHN, IN 46373-9458
(219) 365-4561
Mailing address
11628 VENTURA DR, SAINT JOHN, IN 46373-9458
(219) 365-4561
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
05004004A
IN
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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