Organization
LORMAX REHABILITATION INC
Active
Other names
Therapeutic Playtime
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN LYNN WILD MPT (REGIONAL DIRECTOR)
(636) 464-5439
Entity
Organization
Contact information
Practice address
3488 JEFFCO BLVD, SUITE 102, ARNOLD, MO 63010-6015
(636) 464-5439
(636) 464-5438
Mailing address
3488 JEFFCO BLVD, SUITE 102, ARNOLD, MO 63010-6015
(636) 464-5439
(636) 464-5438
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505464800
—
MO
05
—
856180203
—
MO
Enumeration date
01/15/2007
Last updated
09/20/2018
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