Organization
NOVACARE OUTPATIENT REHABILITATION EAST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 975-4503
Entity
Organization
Contact information
Practice address
555 RAILROAD DR NW, STE 102, ELK RIVER, MN 55330-1463
(717) 975-4503
(717) 975-9981
Mailing address
4716 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 975-4503
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/13/2008
Last updated
03/14/2008
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