Organization
MENTIS OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY K DUCLOS BA (DIRECTOR OF REVENUE CYCLE MGMT)
(713) 820-4212
Entity
Organization
Contact information
Practice address
6111 OAK TREE BLVD, INDEPENDENCE, OH 44131-2589
(713) 820-4200
Mailing address
6565 WEST LOOP S STE 410, BELLAIRE, TX 77401-3519
(713) 820-4200
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
OH
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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