Organization
EAGLE REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON E BORGESON (PRESIDENT/OWNER)
(573) 581-3000
Entity
Organization
Contact information
Practice address
222 E JACKSON ST, MEXICO, MO 65265-2821
(573) 581-3000
Mailing address
222 E JACKSON ST, MEXICO, MO 65265-2821
(573) 581-3000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
002636
MO
Other
Enumeration date
05/05/2006
Last updated
08/22/2020
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