Organization
REHAB SPECIALTY MEDICAL, INC.
Active
Organization
REHAB SPECIALTY MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON F FORREST (PRESIDENT)
(800) 386-8279
Entity
Organization
Contact information
Practice address
728 HEISINGER RD UNIT F, JEFFERSON CITY, MO 65109-4791
(800) 386-8279
Mailing address
PO BOX 105602, JEFFERSON CITY, MO 65110
(800) 386-8279
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
19184786
MO
Other
Enumeration date
01/30/2007
Last updated
12/14/2011
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