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NPI Code Detail

MEDICARE: ROOSEVELT WARM SPRINGS REHABILITATION & SPECIALTY HOSPITALS, INC.

MEDICARE: ROOSEVELT WARM SPRINGS REHABILITATION & SPECIALTY HOSPITALS, 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
1283X00000XRehabilitation Hospital099684GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760892657
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROOSEVELT WARM SPRINGS REHABILITATION & SPECIALTY HOSPITALS, INC.
Provider Business Mailing Address
First Line : 6135 ROOSEVELT HWY
Second Line : PO BOX 280
City : WARM SPRINGS
State : GA
Zip : 31830-2757
Country : US
Telephone Number : 706-655-5461
Fax Number : 706-655-5011
Provider Business Practice Location Address
First Line : 6135 ROOSEVELT HWY
Second Line :
City : WARM SPRINGS
State : GA
Zip : 31830-2757
Country : US
Telephone Number : 706-655-5461
Fax Number : 706-655-5011
Authorized Official
Title or Position : EXECUTIVE DIRECTOR & COO
Name : MR. DAVID MORK
Credential :
Telephone Number : 706-655-5515
Provider Enumeration Date : 05/01/2014
Last Update Date : 10/31/2024

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Directions to “ROOSEVELT WARM SPRINGS REHABILITATION & SPECIALTY HOSPITALS, INC. ” Practice Location

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