Organization
SERC REHABILITATION PARTNERS, LLC
Active
Other names
SERC
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY RUSSELL (REVENUE CYCLE MANAGER)
(423) 238-7217
Entity
Organization
Contact information
Practice address
14802 SHAMROCK WAY STE C, SMITHVILLE, MO 64089-8381
(816) 873-1100
(816) 399-5796
Mailing address
17134 BEL RAY PL, BELTON, MO 64012-5331
(816) 318-0436
(816) 318-0437
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/14/2013
Last updated
09/05/2013
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