Organization
COMPLEX REHAB SOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY L MULLIS OTR, ATP (MEMBER MANAGER)
(828) 238-2130
Entity
Organization
Contact information
Practice address
431 9TH ST NW, HICKORY, NC 28601-3523
(828) 238-2130
Mailing address
431 9TH ST NW, HICKORY, NC 28601-3523
(828) 238-2130
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2547
NC
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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