Organization
SERC REHABILITATION PARTNERS LLC
Active
Organization
SERC REHABILITATION PARTNERS LLC
Active
Other names
SERC - SE Topeka
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE OPERATIONS)
(423) 238-7217
Entity
Organization
Contact information
Practice address
3627 SE 29TH ST, STE 107, TOPEKA, KS 66605-2013
(785) 266-4600
(785) 266-4601
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/09/2013
Last updated
04/26/2016
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