MEDICARE: REHAB CARE

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	:	1871810242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB CARE

Provider Business Mailing Address
First Line	:	330 EXCHANGE ST S
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55102-2311
Country	:	US
Telephone Number	:	651-227-0336
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 EXCHANGE ST S
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55102-2311
Country	:	US
Telephone Number	:	651-227-0336
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	MRS. MELINDA OLSON
Credential	:	PTA/PT
Telephone Number	:	651-227-0336

Provider Enumeration Date	:	04/26/2010
Last Update Date	:	04/26/2010

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Directions to “REHAB CARE ” Practice Location

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