Organization
RELIANT REHAB SERVICE & SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN D BURR CPA (CFO)
(715) 552-3711
Entity
Organization
Contact information
Practice address
6705A STEWART AVE, WAUSAU, WI 54401-9318
(715) 842-9695
Mailing address
6705A STEWART AVE, WAUSAU, WI 54401-9318
(715) 842-9695
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00400031000
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41567800
—
WI
Enumeration date
12/11/2006
Last updated
10/12/2007
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