Organization · Type 2 NPI

Rehab Missouri, LLC

Rehabilitation Clinic/Center · Maryville, IL

NPI number 1689859969 Active

Practice location

2086 Vadalabene Dr.
Maryville, IL 62062-5631

Call (618) 288-7150 Map

Fax (618) 288-7160

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Clinic/Center Primary	261QR0400X	None listed

Rehabilitation Clinic/Center: Definition to come...

NPI record

NPI: 1689859969
Entity type: Organization (Type 2)
Issued: Jan 4, 2008
Last updated: Nov 20, 2018
Status: Active

Other names

<unavail>
Novacare Rehabilitation · doing business as
Novacare Rehabilitation · doing business as

Authorized official

Michael E. Tarvin
Vice President and Secretary
(717) 972-1100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689859969

Rehab Missouri, LLC's National Provider Identifier is 1689859969, issued on Jan 4, 2008. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Maryville, IL. The record was last updated on Nov 20, 2018.