Organization
NEURO REHABCARE OF WATERLOO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANTE PATERSON (CFO)
(913) 333-1009
Entity
Organization
Contact information
Practice address
33 RACHAEL ST, WATERLOO, IA 50701-5124
(913) 333-1009
(913) 257-3574
Mailing address
13021 W 55TH ST, SHAWNEE, KS 66216-1417
(913) 333-1009
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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