MEDICARE: CONTINUUM REHAB GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1073136149
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTINUUM REHAB GROUP

Provider Business Mailing Address
First Line	:	8713 SOUTHWESTERN BLVD APT 1432
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-9411
Country	:	US
Telephone Number	:	618-314-3496
Fax Number	:

Provider Business Practice Location Address
First Line	:	3326 BURGOYNE ST # 1432
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75233-1304
Country	:	US
Telephone Number	:	618-314-3496
Fax Number	:

Authorized Official
Title or Position	:	SLP-CF
Name	:	ERICA ANN BROWN
Credential	:	M.S.
Telephone Number	:	618-314-3496

Provider Enumeration Date	:	05/24/2020
Last Update Date	:	05/24/2020

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