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NPI Code Detail

MEDICARE: RWW HOME & COMMUNITY REHAB SERVICES, INC.

MEDICARE: RWW HOME & COMMUNITY REHAB SERVICES, INC.
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
1261QR0400XRehabilitation Clinic/CenterTX
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1114320090
Entity Type Code : Organization
Provider Name (Legal Business Name) : RWW HOME & COMMUNITY REHAB SERVICES, INC.
Provider Business Mailing Address
First Line : 805 N WHITTINGTON PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-5186
Country : US
Telephone Number : 502-394-2100
Fax Number :
Provider Business Practice Location Address
First Line : 11200 WESTHEIMER RD STE 235
Second Line :
City : HOUSTON
State : TX
Zip : 77042-3226
Country : US
Telephone Number : 502-394-2100
Fax Number :
Authorized Official
Title or Position : PROVIDER ENROLLMENT
Name : MR. TIMOTHY TYLER WHOBREY
Credential :
Telephone Number : 502-630-7249
Provider Enumeration Date : 10/06/2014
Last Update Date : 11/18/2024

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