Organization
WATAUGA REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE W BOYLES (OWNER)
(276) 628-8113
Entity
Organization
Contact information
Practice address
16487 JEB STUART HWY, ABINGDON, VA 24211-7449
(276) 628-8113
(276) 628-8032
Mailing address
PO BOX 1823, ABINGDON, VA 24212-1823
(276) 628-8113
(276) 628-8032
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9102591
—
VA
Enumeration date
05/07/2006
Last updated
08/22/2020
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