Organization
REHAB MISSOURI, LLC.
Active
Other names
Novacare Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. TARVIN (VICE PRESIDENT AND SECRETARY)
(717) 972-1100
Entity
Organization
Contact information
Practice address
525 LINCOLN HWY, SUITE 28 & 29, FAIRVIEW HEIGHTS, IL 62208-2142
(618) 622-5180
(618) 622-5169
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
06/19/2006
Last updated
11/20/2018
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