Organization
DIVERSIFIED REHAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN N RICE (OWNER)
(618) 534-9678
Entity
Organization
Contact information
Practice address
429 S BLANCHE ST, SUITE 210, MOUNDS, IL 62964-1107
(618) 745-9419
(618) 745-9421
Mailing address
101 PARK CIR, BENTON, IL 62812-3464
(618) 534-9678
(618) 435-2346
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
08/22/2020
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