Organization
FORBES REHAB SERVICES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAYTON PRESCAN SMELTZ (PRESIDENT/OWNER)
(419) 589-7688
Entity
Organization
Contact information
Practice address
181 ILLINOIS AVE S, MANSFIELD, OH 44905-2825
(419) 589-7688
(419) 589-5146
Mailing address
181 ILLINOIS AVE S, MANSFIELD, OH 44905-2825
(419) 589-7688
(419) 589-5146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0727459
—
OH
01
—
0770634
HOME CARE WAIVER NUMBER
OH
01
—
70045590
VENDOR NUMBER
OH
Enumeration date
10/31/2006
Last updated
11/26/2021
Update your record
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