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Organization

RWW HOME AND COMMUNITY REHAB SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGIE MATTINGLY (PROVIDER ENROLLMENT MANAGER)
(502) 630-7425
Entity
Organization

Contact information

Practice address
2655 VILA CREEK DRIVE, SUITE 111, DALLAS, TX 75234
(972) 573-3340
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 630-7425

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
02/22/2022
Last updated
02/22/2022
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