Organization
MOBILE REHAB,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MCGUIRE (OWNER)
(859) 881-4444
Entity
Organization
Contact information
Practice address
1060 ELIZABETH DR, SUITE # 1, NICHOLASVILLE, KY 40356-9527
(859) 881-4444
Mailing address
1060 ELIZABETH DR, SUITE # 1, NICHOLASVILLE, KY 40356-9527
(859) 881-4444
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90008400
—
KY
Enumeration date
02/27/2007
Last updated
04/20/2012
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