Organization
BAPTIST MEMORIAL REGIONAL REHABILITATIVE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN STRALKA (CEO)
(901) 757-3439
Entity
Organization
Contact information
Practice address
1111 UNION AVE, MEMPHIS, TN 38104-6646
(901) 529-4045
Mailing address
1111 UNION AVE, MEMPHIS, TN 38104-6646
(901) 529-4045
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4064897
BCTN PROVIDER NUMBER
TN
Enumeration date
05/19/2006
Last updated
08/22/2020
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