Organization
PATRIOT REHABILITATION, LLC
Active
Organization
PATRIOT REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLY RENAE ELMS M.ED., CRC (PRESIDENT & PRINCIPAL CONSULTANT)
(816) 560-3227
Entity
Organization
Contact information
Practice address
1605 SE HILLSIDE DR, OAK GROVE, MO 64075-9406
(816) 560-3227
(816) 625-1147
Mailing address
PO BOX 204, OAK GROVE, MO 64075-0204
(816) 560-3227
(816) 625-1147
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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