Organization
REHAB AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH ANNE HORTON (OFFICE MANAGER)
(205) 387-9787
Entity
Organization
Contact information
Practice address
1090 HIGHWAY 78 E, JASPER, AL 35501-3959
(205) 387-1189
(855) 518-2419
Mailing address
1090 HIGHWAY 78 E, JASPER, AL 35501-3959
(205) 387-1189
(855) 518-2419
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MD24363
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102G703517
MEDICARE PTAN GROUP
AL
05
—
176731
—
AL
05
—
187219
—
AL
01
—
51171825
BCBS OF ALABAMA
AL
Enumeration date
06/04/2015
Last updated
03/22/2022
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