Organization
TRAVCO REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT THOMAS GORLEY (PRESIDENT)
(330) 286-0050
Entity
Organization
Contact information
Practice address
4030 BOARDMAN CANFIELD RD, SUITE 200C, CANFIELD, OH 44406-9505
(330) 286-0050
(330) 286-0055
Mailing address
4030 BOARDMAN CANFIELD RD, SUITE 200C, CANFIELD, OH 44406-9505
(330) 286-0050
(330) 286-0055
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
364511
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2143620
—
OH
Enumeration date
08/24/2005
Last updated
08/22/2020
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