Organization
MID SOUTH REHAB OUTPATIENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN COLE (CEO)
(601) 605-6777
Entity
Organization
Contact information
Practice address
6100 KITT LN NW, HUNTSVILLE, AL 35806-3068
(601) 605-6777
(800) 517-6935
Mailing address
599C STEED RD, RIDGELAND, MS 39157-1707
(601) 605-6777
(800) 517-6935
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2010
Last updated
04/20/2022
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