Organization
REHABCARE GROUP EAST, LLC
Active
Other names
RehabCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE K. DILLON (ASSISTANT SECRETARY)
(502) 596-7220
Entity
Organization
Contact information
Practice address
4301 NW 63RD ST, SUITE 304, OKLAHOMA CITY, OK 73116
(405) 858-8737
(405) 879-0247
Mailing address
4301 NW 63RD STREET, SUITE 304, OKLAHOMA CITY, OK 73116-1549
(405) 858-8737
(405) 879-0247
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200100810A
—
OK
Enumeration date
05/22/2006
Last updated
04/30/2019
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