Organization
EVEREST REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUOFANG WANG MD (CEO)
(610) 812-5752
Entity
Organization
Contact information
Practice address
6787 MARKET ST STE 102, MILLBOURNE, PA 19082-1848
(610) 812-5752
Mailing address
23 MOUNT AIRE FARM RD, GLEN MILLS, PA 19342-3356
(610) 812-5752
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
MD437798
PA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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