Organization
GEORGE J & HILDA MEYER FOUNDATION INC.
Active
Other names
Meyer Outpatient Rehab Agency
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN WAGNER (ADMINISTRATOR)
(660) 584-4673
Entity
Organization
Contact information
Practice address
1201 W 19TH ST, HIGGINSVILLE, MO 64037-1552
(660) 584-4671
(660) 584-7139
Mailing address
1201 W 19TH ST, HIGGINSVILLE, MO 64037-1552
(660) 584-4671
(660) 584-7139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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