Organization
RELIANT CARE REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CIERRA BROWN (SPEECH-LANGUAGE PATHOLOGIST)
(618) 530-7462
Entity
Organization
Contact information
Practice address
2011 CORONA RD, SUITE 301, COLUMBIA, MO 65203-2548
(314) 543-3861
Mailing address
112 CARRINGTON CT APT A, GLEN CARBON, IL 62034-2991
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2012016487
MO
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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