Organization
PERRY COUNTY REHAB & DIAGNOSTIC CENTER
Active
Organization
PERRY COUNTY REHAB & DIAGNOSTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY EDWARD KORDACK (EXECUTIVE DIRECTOR)
(740) 687-0036
Entity
Organization
Contact information
Practice address
301 DR MIKE CLOUSE DRIVE, SOMERSET, OH 43783
(740) 743-3800
(740) 743-3900
Mailing address
2405 N COLUMBUS ST, SUITE 140, LANCASTER, OH 43130-8185
(740) 743-3800
(740) 743-3900
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2278440
—
OH
Enumeration date
12/05/2006
Last updated
08/22/2020
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