Organization
SSM SELECT REHAB ST. LOUIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
12539 OLIVE BLVD, SAINT LOUIS, MO 63141-6311
(314) 205-2006
(314) 205-2241
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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