Organization
JEFFERSON REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE L OTERO (PRESIDENT)
(502) 966-6967
Entity
Organization
Contact information
Practice address
4300 OUTER LOOP, SUITE 6, LOUISVILLE, KY 40219-3875
(502) 966-6967
Mailing address
4300 OUTER LOOP, SUITE 6, LOUISVILLE, KY 40219-3875
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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