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Organization

REHABCARE GROUP EAST, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TERRANCE K. DILLON (ASSISTANT SECRETARY)
(502) 596-7220
Entity
Organization

Contact information

Practice address
1513 SCALP AVENUE, UNIT 260, JOHNSTOWN, PA 15904
(814) 269-4108
Mailing address
1513 SCALP AVENUE, UNIT 260, JOHNSTOWN, PA 15904-3331
(814) 269-4108
(814) 269-2370

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101388157 0002
PA
05
101388157 0003
PA
Enumeration date
05/22/2006
Last updated
04/30/2019
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