Organization
REHAB CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARK HEPOLA MA, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(303) 989-3611
Entity
Organization
Contact information
Practice address
7733 FORSYTH BLVD STE 2300, SAINT LOUIS, MO 63105-1806
(303) 989-3118
Mailing address
7932 S VALENTIA ST, CENTENNIAL, CO 80112-3302
(303) 993-3567
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
14006529
CO
Other
Enumeration date
12/27/2009
Last updated
12/27/2009
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