Organization
NOVACARE OUTPATIENT REHABILITATION EAST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 975-4503
Entity
Organization
Contact information
Practice address
1245 15TH ST N, N, SAINT CLOUD, MN 56303-1802
(717) 975-4503
Mailing address
4716 OLD GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 975-4503
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/13/2008
Last updated
06/10/2008
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