Organization
OHIO REHAB & DIAGNOSTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY EDWARD KORDACK (PRESIDENT CEO)
(740) 687-0036
Entity
Organization
Contact information
Practice address
2405 N COLUMBUS ST, SUITE 140, LANCASTER, OH 43130-8185
(740) 687-5025
(740) 687-4570
Mailing address
2405 N COLUMBUS ST, SUITE 140, LANCASTER, OH 43130-8185
(740) 687-5025
(740) 687-4570
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMEL11021
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460540
—
OH
Enumeration date
12/11/2006
Last updated
08/22/2020
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