Organization
HARVARD REHAB SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGAR R ACOSTA (OFFICER-BUSINESS DEVELOPMENT)
(918) 224-0066
Entity
Organization
Contact information
Practice address
1305 E TAFT ST, 200, SAPULPA, OK 74066-6033
(918) 224-0066
(918) 224-0012
Mailing address
1305 E TAFT ST, 200, SAPULPA, OK 74066-6033
(918) 224-0066
(918) 224-0012
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000374509001
BCBSOK
OK
Enumeration date
08/17/2006
Last updated
08/22/2020
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