Organization
RELIANT CARE REHABILITATIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY SUSAN PERNELL LPTA (LPTA)
(314) 524-6191
Entity
Organization
Contact information
Practice address
411 ROBERT AVE, FERGUSON, MO 63135-3526
(314) 524-6191
Mailing address
411 ROBERT AVE, FERGUSON, MO 63135-3526
(314) 524-6191
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
116138
MO
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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