Organization
LC REHAB LLC
Active
Other names
Rehab Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURY WISE COOKE JR. ATS CRTS (VICE PRESIDENT)
(757) 466-1553
Entity
Organization
Contact information
Practice address
5873 POPLAR HALL DRIVE, NORFOLK, VA 23502
(757) 466-1553
(757) 455-8536
Mailing address
5873 POPLAR HALL DRIVE, NORFOLK, VA 23502
(757) 466-1553
(757) 455-8536
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010199816
—
VA
05
—
010207720
—
VA
01
—
186517
ANTHEM
VA
01
—
186532
ANTHEM
VA
01
—
99886
OPTIMA
—
Enumeration date
07/27/2006
Last updated
08/09/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us