Organization
HEARTLAND REHABILITATION SERVICES OF VIRGINIA, LLC
Active
Other names
Heartland Rehabilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT)
(419) 252-5541
Entity
Organization
Contact information
Practice address
3425 EXECUTIVE PKWY, SUITE 128, TOLEDO, OH 43606-1326
(419) 537-0764
(419) 537-0948
Mailing address
982 BEN BOLT AVENUE, TAZEWELL, VA 24651-9706
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4978633
—
VA
Enumeration date
01/13/2012
Last updated
01/13/2012
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