Organization
REHAB RESOURCES UNLIMITED, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FERMIKA SMITH (BUSINESS MANAGER)
(601) 638-4076
Entity
Organization
Contact information
Practice address
1005 JOHNSON ST, TALLULAH, LA 71282-5215
(318) 574-5273
(318) 574-2218
Mailing address
PO BOX 822394, VICKSBURG, MS 39182-2394
(601) 638-4076
(601) 638-4979
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
LA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1476749
—
LA
01
—
G9304
BLUE CROSS
LA
Enumeration date
10/27/2006
Last updated
07/21/2022
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